Provider Demographics
NPI:1578076857
Name:CRITTENDENS RX INC
Entity Type:Organization
Organization Name:CRITTENDENS RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PULIGILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-450-0581
Mailing Address - Street 1:121 W CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:CREWE
Mailing Address - State:VA
Mailing Address - Zip Code:23930-1803
Mailing Address - Country:US
Mailing Address - Phone:434-645-9545
Mailing Address - Fax:434-645-8183
Practice Address - Street 1:121 W CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:CREWE
Practice Address - State:VA
Practice Address - Zip Code:23930-1803
Practice Address - Country:US
Practice Address - Phone:434-645-9545
Practice Address - Fax:434-645-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy