Provider Demographics
NPI:1609439280
Name:CENTRAL RX SERVICES, LLC
Entity Type:Organization
Organization Name:CENTRAL RX SERVICES, LLC
Other - Org Name:INGENIORX SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-225-5967
Mailing Address - Street 1:1127 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4558
Mailing Address - Country:US
Mailing Address - Phone:800-225-5967
Mailing Address - Fax:
Practice Address - Street 1:1451 CENTER CROSSING RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-7047
Practice Address - Country:US
Practice Address - Phone:702-880-6500
Practice Address - Fax:702-880-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No333600000XSuppliersPharmacy