Provider Demographics
NPI:1740887454
Name:DISCOUNT RX LLC
Entity type:Organization
Organization Name:DISCOUNT RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHBOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-239-2667
Mailing Address - Street 1:4129 S SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2650
Mailing Address - Country:US
Mailing Address - Phone:810-213-9834
Mailing Address - Fax:
Practice Address - Street 1:4129 S SAGINAW ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2650
Practice Address - Country:US
Practice Address - Phone:810-213-9834
Practice Address - Fax:810-231-9834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy