Provider Demographics
NPI:1609365543
Name:EXCEL RX CONSULTING, LLC.
Entity Type:Organization
Organization Name:EXCEL RX CONSULTING, LLC.
Other - Org Name:SPECIALTY CARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:R
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-848-8112
Mailing Address - Street 1:2140 W CHAPMAN AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2332
Mailing Address - Country:US
Mailing Address - Phone:469-257-4200
Mailing Address - Fax:469-795-9204
Practice Address - Street 1:408 N ALLEN DR STE 100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2500
Practice Address - Country:US
Practice Address - Phone:469-257-4200
Practice Address - Fax:469-795-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33134OtherPHARMACY LICENCE