Provider Demographics
NPI:1891084075
Name:METRO RX LLC
Entity Type:Organization
Organization Name:METRO RX LLC
Other - Org Name:METRO RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOOBI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-668-4945
Mailing Address - Street 1:4809 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4307
Mailing Address - Country:US
Mailing Address - Phone:407-668-4945
Mailing Address - Fax:407-704-1469
Practice Address - Street 1:4809 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4307
Practice Address - Country:US
Practice Address - Phone:407-668-4945
Practice Address - Fax:407-704-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH253683336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy