Provider Demographics
NPI:1730503566
Name:RX TRADE INC
Entity type:Organization
Organization Name:RX TRADE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULKARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARQAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-788-6913
Mailing Address - Street 1:6840 REUTER
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126
Mailing Address - Country:US
Mailing Address - Phone:313-377-8765
Mailing Address - Fax:734-439-1221
Practice Address - Street 1:25 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-2303
Practice Address - Country:US
Practice Address - Phone:734-439-1200
Practice Address - Fax:734-439-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MI53010103353336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2144281OtherPK