Provider Demographics
NPI:1790087484
Name:ON-SITE RX, INC.
Entity Type:Organization
Organization Name:ON-SITE RX, INC.
Other - Org Name:HAMILTON COUNTY EMPLOYEE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:YALE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-532-1551
Mailing Address - Street 1:210 WASHINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3672
Mailing Address - Country:US
Mailing Address - Phone:770-532-1551
Mailing Address - Fax:770-536-7519
Practice Address - Street 1:455 N HIGHLAND PARK AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2016
Practice Address - Country:US
Practice Address - Phone:423-209-6004
Practice Address - Fax:423-209-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy