Provider Demographics
NPI:1578750337
Name:COMPLETE RX SERVICES INC
Entity Type:Organization
Organization Name:COMPLETE RX SERVICES INC
Other - Org Name:COMPLETE RX SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-680-4842
Mailing Address - Street 1:250 MOUNT LEBANON BLVD
Mailing Address - Street 2:STE 30
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1252
Mailing Address - Country:US
Mailing Address - Phone:412-341-4505
Mailing Address - Fax:412-341-4512
Practice Address - Street 1:1840 MAYVIEW RD
Practice Address - Street 2:STE 103
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1590
Practice Address - Country:US
Practice Address - Phone:412-319-7290
Practice Address - Fax:412-319-7349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4816543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3989122OtherNCPDP PROVIDER IDENTIFICATION NUMBER