Provider Demographics
NPI:1891263786
Name:MILLENNIUM RX CORP
Entity Type:Organization
Organization Name:MILLENNIUM RX CORP
Other - Org Name:MILLENNIUM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IN
Authorized Official - Middle Name:SUN
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-667-6611
Mailing Address - Street 1:3384 N MOUNT JULIET RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-0011
Mailing Address - Country:US
Mailing Address - Phone:615-667-6611
Mailing Address - Fax:615-549-5310
Practice Address - Street 1:3384 N MOUNT JULIET RD STE 1000
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-0011
Practice Address - Country:US
Practice Address - Phone:615-754-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy