Provider Demographics
NPI:1205929643
Name:RXPERT NO 2 LLC
Entity type:Organization
Organization Name:RXPERT NO 2 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DRUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-351-0274
Mailing Address - Street 1:510 S PINE AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4296
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:510 S PINE AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4296
Practice Address - Country:US
Practice Address - Phone:352-351-0274
Practice Address - Fax:352-351-1493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH222343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1021930OtherOTHER ID NUMBER-COMMERCIAL NUMBER