Provider Demographics
NPI:1871050997
Name:ALLMED RX LLC
Entity type:Organization
Organization Name:ALLMED RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJESWARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTALURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-995-9958
Mailing Address - Street 1:109 E FATE MAIN PL
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75132
Mailing Address - Country:US
Mailing Address - Phone:469-995-9958
Mailing Address - Fax:
Practice Address - Street 1:109 E FATE MAIN PL
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75132
Practice Address - Country:US
Practice Address - Phone:469-995-9958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy