Provider Demographics
NPI:1144007717
Name:SPRX, INC.
Entity type:Organization
Organization Name:SPRX, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:904-575-3571
Mailing Address - Street 1:3740 SAINT JOHNS BLUFF RD S STE 21
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-2650
Mailing Address - Country:US
Mailing Address - Phone:904-575-3571
Mailing Address - Fax:844-904-2667
Practice Address - Street 1:3740 SAINT JOHNS BLUFF RD S STE 21
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-2650
Practice Address - Country:US
Practice Address - Phone:904-575-3571
Practice Address - Fax:844-904-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy