Provider Demographics
NPI:1629371174
Name:PHARMDAX LLC
Entity Type:Organization
Organization Name:PHARMDAX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:AXMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:865-805-3864
Mailing Address - Street 1:PO BOX 30086
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37930-0086
Mailing Address - Country:US
Mailing Address - Phone:865-357-4120
Mailing Address - Fax:865-357-5142
Practice Address - Street 1:101 SHERLAKE LN
Practice Address - Street 2:SUITE 204
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3473
Practice Address - Country:US
Practice Address - Phone:865-357-4120
Practice Address - Fax:865-357-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4807333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy