Provider Demographics
NPI:1255623757
Name:PHYSICIANS RX NETWORK, LP
Entity type:Organization
Organization Name:PHYSICIANS RX NETWORK, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-931-6910
Mailing Address - Street 1:22568 MISSION BLVD # 414
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5116
Mailing Address - Country:US
Mailing Address - Phone:510-931-6910
Mailing Address - Fax:510-581-7796
Practice Address - Street 1:21060 REDWOOD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5931
Practice Address - Country:US
Practice Address - Phone:510-931-6910
Practice Address - Fax:510-581-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5266332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies