Organization
PATIENT DIRECT RX
Active
Other names
Patient Direct Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BORELL (OWNER)
(866) 567-1642
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY ROAD, SUITE 1203A, YARDLEY, PA 19067
(866) 567-1642
(215) 323-4106
Mailing address
301 OXFORD VALLEY ROAD, SUITE 1203A, YARDLEY, PA 19067
(866) 567-1642
(215) 323-4106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PP482173
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166339
PK
—
Enumeration date
11/22/2016
Last updated
02/13/2020
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