Provider Demographics
NPI:1831863448
Name:HTRX LLC
Entity type:Organization
Organization Name:HTRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-688-8952
Mailing Address - Street 1:369 HANGING ROCK HWY
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-5105
Mailing Address - Country:US
Mailing Address - Phone:304-752-0082
Mailing Address - Fax:
Practice Address - Street 1:369 HANGING ROCK HWY
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-5105
Practice Address - Country:US
Practice Address - Phone:304-752-0082
Practice Address - Fax:304-752-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies