Provider Demographics
NPI:1699010785
Name:RX TEAM INC
Entity Type:Organization
Organization Name:RX TEAM INC
Other - Org Name:LIVINGSTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDITSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-597-1200
Mailing Address - Street 1:91 E MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3005
Mailing Address - Country:US
Mailing Address - Phone:973-597-1200
Mailing Address - Fax:973-597-1201
Practice Address - Street 1:91 E MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3005
Practice Address - Country:US
Practice Address - Phone:973-597-1200
Practice Address - Fax:973-597-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007232003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0366145Medicaid
NJ6726270001Medicare NSC