Provider Demographics
NPI:1720329105
Name:ON-SITE RX, INC
Entity Type:Organization
Organization Name:ON-SITE RX, INC
Other - Org Name:CPS HEARTBEATS WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-532-1551
Mailing Address - Street 1:210 WASHINGTON ST NW
Mailing Address - Street 2:STE. 101
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3672
Mailing Address - Country:US
Mailing Address - Phone:770-532-1551
Mailing Address - Fax:770-536-7519
Practice Address - Street 1:838 OLD GEORGE WASHINGTON HWY N
Practice Address - Street 2:STE. N
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2209
Practice Address - Country:US
Practice Address - Phone:770-532-1551
Practice Address - Fax:770-536-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201004502333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy