Provider Demographics
NPI:1144459058
Name:ARRX INC
Entity type:Organization
Organization Name:ARRX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSE
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:402-988-7145
Mailing Address - Street 1:PO BOX 972
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:NE
Mailing Address - Zip Code:68301-0972
Mailing Address - Country:US
Mailing Address - Phone:402-988-7145
Mailing Address - Fax:402-988-2096
Practice Address - Street 1:620 MAIN ST
Practice Address - Street 2:STE B
Practice Address - City:ADAMS
Practice Address - State:NE
Practice Address - Zip Code:68301-8277
Practice Address - Country:US
Practice Address - Phone:402-988-7145
Practice Address - Fax:402-988-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 333600000X
NE28853336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2054536OtherPK
NE10025580600Medicaid