Provider Demographics
NPI:1760228696
Name:COMPASS HEALTH RX LLC
Entity type:Organization
Organization Name:COMPASS HEALTH RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAROUGI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:586-846-7503
Mailing Address - Street 1:34774 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:248-662-8024
Mailing Address - Fax:248-662-8024
Practice Address - Street 1:34774 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-662-8024
Practice Address - Fax:586-662-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy