Provider Demographics
NPI:1598021057
Name:ON-SITE RX INC
Entity Type:Organization
Organization Name:ON-SITE RX INC
Other - Org Name:CITY EMPLOYEE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-532-1551
Mailing Address - Street 1:210 WASHINGTON ST NW
Mailing Address - Street 2:STE. 101
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3672
Mailing Address - Country:US
Mailing Address - Phone:770-532-1551
Mailing Address - Fax:770-536-7519
Practice Address - Street 1:125 LISLE INDUSTRIAL AVE STE 260
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2046
Practice Address - Country:US
Practice Address - Phone:859-367-4990
Practice Address - Fax:859-367-4993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ON-SITE RX INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-09
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO7505333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy