Provider Demographics
NPI:1780973099
Name:MED RX LLC
Entity type:Organization
Organization Name:MED RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACY INCHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ROOHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:BS,RPH
Authorized Official - Phone:410-788-8149
Mailing Address - Street 1:7001 JOHNNYCAKE ROAD SUITE 100
Mailing Address - Street 2:ROLLING ROAD PHARMACY
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:410-788-8149
Mailing Address - Fax:410-788-8194
Practice Address - Street 1:7001 JOHNNYCAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2418
Practice Address - Country:US
Practice Address - Phone:410-788-8149
Practice Address - Fax:410-788-8194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP05496333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy