Provider Demographics
NPI:1609120559
Name:SCIRX INC.
Entity Type:Organization
Organization Name:SCIRX INC.
Other - Org Name:SCIRX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND COMPOUNDING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MILLER
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:207-619-7272
Mailing Address - Street 1:400 US ROUTE 1
Mailing Address - Street 2:SUITE C
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1386
Mailing Address - Country:US
Mailing Address - Phone:207-619-7272
Mailing Address - Fax:207-619-7273
Practice Address - Street 1:400 US ROUTE 1
Practice Address - Street 2:SUITE C
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1386
Practice Address - Country:US
Practice Address - Phone:207-619-7272
Practice Address - Fax:207-619-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty