Provider Demographics
NPI:1184171241
Name:ARX MS LLC
Entity type:Organization
Organization Name:ARX MS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RECORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-279-4501
Mailing Address - Street 1:6300 BRIDGE POINT PKWY
Mailing Address - Street 2:BLDG 3 STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-5073
Mailing Address - Country:US
Mailing Address - Phone:512-279-4501
Mailing Address - Fax:512-279-4501
Practice Address - Street 1:2395 GAUSE BLVD E STE 11
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-6010
Practice Address - Country:US
Practice Address - Phone:888-493-7374
Practice Address - Fax:877-526-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
LAPHY.007358-IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164030OtherPK