Provider Demographics
NPI:1508512435
Name:AVI RX LLC
Entity type:Organization
Organization Name:AVI RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIRAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-459-5246
Mailing Address - Street 1:129 RIVERMILL PL
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-7353
Mailing Address - Country:US
Mailing Address - Phone:848-459-5246
Mailing Address - Fax:
Practice Address - Street 1:9616 HIGHWAY 78 STE 6
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-4500
Practice Address - Country:US
Practice Address - Phone:843-800-8788
Practice Address - Fax:843-894-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy