Provider Demographics
NPI:1629685797
Name:PHARMA RX SERVICES LLC
Entity Type:Organization
Organization Name:PHARMA RX SERVICES LLC
Other - Org Name:NATIONWIDERX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-395-4119
Mailing Address - Street 1:PO BOX 7827
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-7827
Mailing Address - Country:US
Mailing Address - Phone:516-395-4119
Mailing Address - Fax:
Practice Address - Street 1:24706 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1750
Practice Address - Country:US
Practice Address - Phone:516-395-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy