Provider Demographics
NPI:1851305650
Name:VIRX LLC
Entity Type:Organization
Organization Name:VIRX LLC
Other - Org Name:GOLDEN ROCK RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-5645
Mailing Address - Street 1:3000 GOLDEN ROCK SHOPP CTR
Mailing Address - Street 2:STE 1
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4311
Mailing Address - Country:US
Mailing Address - Phone:340-718-7666
Mailing Address - Fax:340-718-4811
Practice Address - Street 1:3000 GOLDEN ROCK SHOPP CTR
Practice Address - Street 2:STE 1
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4311
Practice Address - Country:US
Practice Address - Phone:340-718-7666
Practice Address - Fax:340-718-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VI2-28559-1L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2111714OtherPK