Provider Demographics
NPI:1578933313
Name:RX THERAPY
Entity Type:Organization
Organization Name:RX THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICATION MANAGEMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:267-414-4500
Mailing Address - Street 1:20 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2923
Mailing Address - Country:US
Mailing Address - Phone:267-414-4500
Mailing Address - Fax:
Practice Address - Street 1:20 LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2923
Practice Address - Country:US
Practice Address - Phone:267-414-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003985302R00000X
PA440842302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization