Provider Demographics
NPI:1023610797
Name:TRUAX PATIENT SERVICES, LLC
Entity type:Organization
Organization Name:TRUAX PATIENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:TRUAX
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:218-444-8217
Mailing Address - Street 1:1112 RAILROAD STREET SE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-4871
Mailing Address - Country:US
Mailing Address - Phone:218-444-8217
Mailing Address - Fax:218-444-2267
Practice Address - Street 1:1112 RAILROAD STREET SE
Practice Address - Street 2:SUITE 4
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-4871
Practice Address - Country:US
Practice Address - Phone:218-444-8217
Practice Address - Fax:218-444-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy