Provider Demographics
NPI:1023064698
Name:FRESENIUS MEDICAL CARE RX, LLC
Entity type:Organization
Organization Name:FRESENIUS MEDICAL CARE RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:HARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-764-6529
Mailing Address - Street 1:1000 CORPORATE CENTRE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2663
Mailing Address - Country:US
Mailing Address - Phone:800-947-3131
Mailing Address - Fax:781-464-2585
Practice Address - Street 1:1000 CORPORATE CENTRE DR STE 400
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2663
Practice Address - Country:US
Practice Address - Phone:800-947-3131
Practice Address - Fax:781-464-2585
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE INTEGRATED CARE GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-25
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN037353336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454166Medicaid
TN4282010001Medicare NSC