Provider Demographics
NPI:1871928861
Name:SUPPORT RX, LLC
Entity type:Organization
Organization Name:SUPPORT RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOFFSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-815-7377
Mailing Address - Street 1:1821 HERITAGE PARK PLZ
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0566
Mailing Address - Country:US
Mailing Address - Phone:615-815-7377
Mailing Address - Fax:615-603-7092
Practice Address - Street 1:1821 HERITAGE PARK PLZ
Practice Address - Street 2:SUITE 3B
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0566
Practice Address - Country:US
Practice Address - Phone:615-815-7377
Practice Address - Fax:615-603-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy