Provider Demographics
NPI:1912272493
Name:APRX INC
Entity Type:Organization
Organization Name:APRX INC
Other - Org Name:RANDOL MILL LTC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DALEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:817-274-1883
Mailing Address - Street 1:1014 N FIELDER RD
Mailing Address - Street 2:STE 110
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3149
Mailing Address - Country:US
Mailing Address - Phone:682-235-1025
Mailing Address - Fax:
Practice Address - Street 1:1014 N FIELDER RD
Practice Address - Street 2:STE 110
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3149
Practice Address - Country:US
Practice Address - Phone:682-235-1025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X
TX280593336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135323OtherPK
TX351019Medicaid
2135323OtherPK