Provider Demographics
NPI:1851633614
Name:AMERICAN RX LLC
Entity Type:Organization
Organization Name:AMERICAN RX LLC
Other - Org Name:AMERICAN RX, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-260-2808
Mailing Address - Street 1:412 S COURT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5645
Mailing Address - Country:US
Mailing Address - Phone:256-766-1700
Mailing Address - Fax:266-766-1400
Practice Address - Street 1:412 S COURT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5645
Practice Address - Country:US
Practice Address - Phone:256-766-1700
Practice Address - Fax:256-766-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1140613336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139445OtherPK