Provider Demographics
NPI:1548919798
Name:RX DISCOUNT PHARMACY, INC.
Entity type:Organization
Organization Name:RX DISCOUNT PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-436-2407
Mailing Address - Street 1:PO BOX 1569
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41702-1569
Mailing Address - Country:US
Mailing Address - Phone:606-436-2891
Mailing Address - Fax:606-436-0727
Practice Address - Street 1:1030 MAIN STREET SOUTH
Practice Address - Street 2:
Practice Address - City:MCKEE
Practice Address - State:KY
Practice Address - Zip Code:40447-7089
Practice Address - Country:US
Practice Address - Phone:606-287-3466
Practice Address - Fax:606-287-3471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RX DISCOUNT PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies