Provider Demographics
NPI:1740071661
Name:DEVELOP HEALTH RX, LLC
Entity type:Organization
Organization Name:DEVELOP HEALTH RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTO/ CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-391-5079
Mailing Address - Street 1:815 ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-5021
Mailing Address - Country:US
Mailing Address - Phone:510-391-5079
Mailing Address - Fax:
Practice Address - Street 1:219 N 27TH ST STE 24
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4723
Practice Address - Country:US
Practice Address - Phone:650-374-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEVELOP HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy