Provider Demographics
NPI:1689373540
Name:RX GROUP, INC
Entity Type:Organization
Organization Name:RX GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YERED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-341-2919
Mailing Address - Street 1:227 W JANSS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1855
Mailing Address - Country:US
Mailing Address - Phone:805-497-6113
Mailing Address - Fax:805-373-9345
Practice Address - Street 1:227 W JANSS RD STE 120
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1855
Practice Address - Country:US
Practice Address - Phone:805-497-6113
Practice Address - Fax:805-373-9345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RX GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy