Provider Demographics
NPI:1790214526
Name:HYRAX PHARMACEUTICALS
Entity Type:Organization
Organization Name:HYRAX PHARMACEUTICALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OWORI
Authorized Official - Middle Name:BWIRE
Authorized Official - Last Name:MANG'ENI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:720-891-8317
Mailing Address - Street 1:4882 CATHAY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8483
Mailing Address - Country:US
Mailing Address - Phone:720-891-8317
Mailing Address - Fax:
Practice Address - Street 1:4882 CATHAY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8483
Practice Address - Country:US
Practice Address - Phone:720-891-8317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health