Provider Demographics
NPI:1801484217
Name:RXEAGLE LLC
Entity type:Organization
Organization Name:RXEAGLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RXEAGLE MANAGER/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:PIKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:501-230-6211
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:AR
Mailing Address - Zip Code:72020-0112
Mailing Address - Country:US
Mailing Address - Phone:501-344-2763
Mailing Address - Fax:
Practice Address - Street 1:232 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:AR
Practice Address - Zip Code:72020-8808
Practice Address - Country:US
Practice Address - Phone:501-344-2763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy