Organization
4URX
Active
Other names
4urx
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL KUCHTA (CEO)
(484) 225-4668
Entity
Organization
Contact information
Practice address
960 LANCASTER AVE, STE 2 REAR, COLUMBIA, PA 17512
(888) 708-4879
(223) 207-0450
Mailing address
960 LANCASTER AVE, STE 2 REAR, COLUMBIA, PA 17512
(888) 708-4879
(223) 207-0450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
PP482499
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148513
PK
—
Enumeration date
11/03/2014
Last updated
11/16/2020
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