Provider Demographics
NPI:1851533863
Name:VALUE RX LLC
Entity Type:Organization
Organization Name:VALUE RX LLC
Other - Org Name:VALUE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-364-0995
Mailing Address - Street 1:1613 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-4339
Mailing Address - Country:US
Mailing Address - Phone:423-626-7455
Mailing Address - Fax:
Practice Address - Street 1:1613 N BROAD ST
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-4339
Practice Address - Country:US
Practice Address - Phone:423-626-7455
Practice Address - Fax:423-626-3805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4442214OtherNCPDP PROVIDER IDENTIFICATION NUMBER