Provider Demographics
NPI:1548967466
Name:CORE RX
Entity type:Organization
Organization Name:CORE RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:626-522-1801
Mailing Address - Street 1:14 MONUMENT PL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0726
Mailing Address - Country:US
Mailing Address - Phone:626-522-1801
Mailing Address - Fax:
Practice Address - Street 1:10408 VACCO ST UNIT B
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3328
Practice Address - Country:US
Practice Address - Phone:626-522-1801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy