Provider Demographics
NPI:1821772807
Name:ON SITE RX INC
Entity Type:Organization
Organization Name:ON SITE RX INC
Other - Org Name:SPS HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COORDINATOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-532-1551
Mailing Address - Street 1:210 WASHINGTON ST NW STE 101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3648
Mailing Address - Country:US
Mailing Address - Phone:770-532-1551
Mailing Address - Fax:
Practice Address - Street 1:3264 PRUDEN BLVD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-7237
Practice Address - Country:US
Practice Address - Phone:757-922-9200
Practice Address - Fax:757-926-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy