Provider Demographics
NPI:1457418139
Name:RXS, INC.
Entity Type:Organization
Organization Name:RXS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-981-0070
Mailing Address - Street 1:PO BOX 12648
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39236-2648
Mailing Address - Country:US
Mailing Address - Phone:601-981-0070
Mailing Address - Fax:601-981-4513
Practice Address - Street 1:1985 LAKELAND DR
Practice Address - Street 2:SUITE 103
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5024
Practice Address - Country:US
Practice Address - Phone:601-212-8114
Practice Address - Fax:601-981-4513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0682202.33336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02977281Medicaid
2586393OtherNCPDP