Provider Demographics
NPI:1871785659
Name:RX INC
Entity type:Organization
Organization Name:RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-927-1766
Mailing Address - Street 1:PO BOX 16209
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2909
Mailing Address - Country:US
Mailing Address - Phone:912-354-0249
Mailing Address - Fax:912-356-9609
Practice Address - Street 1:920 MORGANS CORNER RD
Practice Address - Street 2:STE A
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-9369
Practice Address - Country:US
Practice Address - Phone:912-998-0070
Practice Address - Fax:912-998-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0093643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA493108063AMedicaid
2016657OtherPK
0228770003Medicare NSC