Provider Demographics
NPI:1811749534
Name:RX MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:RX MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:916-209-9878
Mailing Address - Street 1:4800 MANZANITA AVE STE B6
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0911
Mailing Address - Country:US
Mailing Address - Phone:916-209-9878
Mailing Address - Fax:916-299-5231
Practice Address - Street 1:4800 MANZANITA AVE STE B6
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0911
Practice Address - Country:US
Practice Address - Phone:916-209-9878
Practice Address - Fax:916-299-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies