Provider Demographics
NPI:1639887102
Name:LOCAL WAY RX LLC
Entity Type:Organization
Organization Name:LOCAL WAY RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:AARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-858-5008
Mailing Address - Street 1:1235 INDIAN TRAIL LILBURN RD STE B100
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-5780
Mailing Address - Country:US
Mailing Address - Phone:770-858-5008
Mailing Address - Fax:770-858-5801
Practice Address - Street 1:1235 INDIAN TRAIL LILBURN RD STE B100
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-5780
Practice Address - Country:US
Practice Address - Phone:770-858-5008
Practice Address - Fax:770-858-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy