Organization
PHYSICIANS RX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS WAKEFIELD (CORPORATE MANAGER)
(412) 477-7803
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 400, LARGO, MD 20774-4791
(301) 477-3367
(866) 354-1868
Mailing address
9701 APOLLO DR STE 400, LARGO, MD 20774-4791
(301) 477-3367
(866) 354-1868
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054.018661
IL
3336C0003X
Community/Retail Pharmacy
NRX0000450
DC
3336C0003X
Community/Retail Pharmacy
Primary
P06366
MD
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139016
PK
—
05
—
465033443001
—
IL
05
—
549920800
—
MD
05
—
59780800
—
DC
Enumeration date
01/22/2013
Last updated
04/11/2024
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