Organization
PROFESSIONAL RX PHARMACY LLC
Active
Other names
Professional Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MASSIMO CAVALLARO (OWNER)
(702) 203-4797
Entity
Organization
Contact information
Practice address
2560 E SUNSET RD STE 120, LAS VEGAS, NV 89120-3517
(702) 478-6690
(888) 906-3556
Mailing address
2560 E SUNSET RD STE 120, LAS VEGAS, NV 89120-3517
(702) 478-6690
(888) 906-3556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03672
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167002
PK
—
Enumeration date
01/17/2017
Last updated
02/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us