Provider Demographics
NPI:1982895165
Name:RX HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:RX HEALTH PHARMACY INC
Other - Org Name:RX HEALTH PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYERLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-726-5997
Mailing Address - Street 1:9361 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4159
Mailing Address - Country:US
Mailing Address - Phone:305-227-5842
Mailing Address - Fax:305-227-5843
Practice Address - Street 1:9361 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4159
Practice Address - Country:US
Practice Address - Phone:305-227-5842
Practice Address - Fax:305-227-5843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH228053336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1027742OtherNCPDP PROVIDER IDENTIFICATION NUMBER