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Organization

RX21 LLC

Active
Other names
Rx21, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID HOLLIS (OWNER)
(888) 792-1552
Entity
Organization

Contact information

Practice address
20160 CENTER RIDGE RD STE 202, ROCKY RIVER, OH 44116-3507
(888) 792-1552
(888) 216-2510
Mailing address
20160 CENTER RIDGE RD, SUITE 202, ROCKY RIVER, OH 44116-3591
(888) 792-1552
(888) 216-2510

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022056400
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3679505
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/20/2010
Last updated
05/13/2013
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