Provider Demographics
NPI:1598187361
Name:INTEGRITYRX, LLC
Entity Type:Organization
Organization Name:INTEGRITYRX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MACQUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-606-7000
Mailing Address - Street 1:76 W GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4918
Mailing Address - Country:US
Mailing Address - Phone:609-606-7000
Mailing Address - Fax:609-228-6107
Practice Address - Street 1:54 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7643
Practice Address - Country:US
Practice Address - Phone:732-473-2891
Practice Address - Fax:732-505-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007311003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy