Provider Demographics
NPI:1821489519
Name:RX SERVICES INC
Entity Type:Organization
Organization Name:RX SERVICES INC
Other - Org Name:FARMACIA VIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-840-2015
Mailing Address - Street 1:EST DEL GOLF CLUB
Mailing Address - Street 2:582 CALLE LUIS MORALES
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-840-2015
Mailing Address - Fax:787-840-2017
Practice Address - Street 1:CENTRO DEL SUR MALL
Practice Address - Street 2:BLVD MIGUEL A POU KM 26.4
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2702
Practice Address - Country:US
Practice Address - Phone:787-840-2015
Practice Address - Fax:787-840-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17-F-32643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2150209OtherPK