Provider Demographics
NPI:1689757387
Name:RX ENTERPRISES
Entity Type:Organization
Organization Name:RX ENTERPRISES
Other - Org Name:SOUTHERN INDIANA INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CRNI, MBA
Authorized Official - Phone:812-372-0822
Mailing Address - Street 1:2020 DOCTORS PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-2221
Mailing Address - Country:US
Mailing Address - Phone:812-372-0822
Mailing Address - Fax:812-372-4302
Practice Address - Street 1:2020 DOCTORS PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-2221
Practice Address - Country:US
Practice Address - Phone:812-372-0822
Practice Address - Fax:812-372-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60003766B3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN6003766BOtherPHARMACY LICENSE NUMBER
IN100293920AMedicaid
IN100293920AMedicaid
IN0181940001Medicare NSC