Provider Demographics
NPI:1861814758
Name:GENRX CORP
Entity Type:Organization
Organization Name:GENRX CORP
Other - Org Name:GENRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-892-4250
Mailing Address - Street 1:17250 N HARTFORD DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5432
Mailing Address - Country:US
Mailing Address - Phone:602-892-4250
Mailing Address - Fax:844-402-1134
Practice Address - Street 1:17250 N HARTFORD DR
Practice Address - Street 2:SUITE 115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5432
Practice Address - Country:US
Practice Address - Phone:602-892-4250
Practice Address - Fax:844-402-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
AZY0058093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy