NPI | 1801209051 |
---|---|
Doing Business As | RX 2 GEAUX |
Entity Type | Organization |
Authorized Contact | NIZAR ALIKHAN Credentialing Contact,AO 215-888-8099 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007095-IR) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2014-06-05 |
Last Update Date | 2017-01-19 |