Provider Demographics
NPI:1629485446
Name:AMERIX NUTRA-PHARMACEUTICAL INC.
Entity Type:Organization
Organization Name:AMERIX NUTRA-PHARMACEUTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:TAIWO
Authorized Official - Last Name:ONAMUSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:567-204-7756
Mailing Address - Street 1:904 N CABLE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-1704
Mailing Address - Country:US
Mailing Address - Phone:419-222-9410
Mailing Address - Fax:419-222-6175
Practice Address - Street 1:904 N CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1704
Practice Address - Country:US
Practice Address - Phone:419-222-9410
Practice Address - Fax:419-222-6175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition