Organization
PAX RX LLC
Active
Other names
PAX RX
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SHEA PHARMD (MEMBER)
(775) 348-1406
Entity
Organization
Contact information
Practice address
3515 AIRWAY DR, STE 210, RENO, NV 89511-1849
(775) 851-7788
(775) 851-7787
Mailing address
PO BOX 17448, RENO, NV 89511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02116
NV
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28100507944
—
NV
01
—
2989311
OTHER ID NUMBER
—
05
—
3310050782
—
NV
05
—
37100507983
—
NV
Enumeration date
06/22/2006
Last updated
09/12/2007
Update your record
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