Provider Demographics
NPI:1245732809
Name:RXPRESS LTC LLC
Entity type:Organization
Organization Name:RXPRESS LTC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETA
Authorized Official - Middle Name:PARESH
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-501-9306
Mailing Address - Street 1:40595 KOPPERNICK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4281
Mailing Address - Country:US
Mailing Address - Phone:734-306-3194
Mailing Address - Fax:
Practice Address - Street 1:40595 KOPPERNICK RD STE 3
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4281
Practice Address - Country:US
Practice Address - Phone:734-306-3194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy