MEDICARE: AERARX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336M0002X	Mail Order Pharmacy

General Provider Information

NPI Number	:	1982268108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERARX LLC

Provider Business Mailing Address
First Line	:	1256 UNION AVE FL 3
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3411
Country	:	US
Telephone Number	:	901-921-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	1256 UNION AVE FL 3
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3411
Country	:	US
Telephone Number	:	877-521-6337
Fax Number	:	877-830-2923

Authorized Official
Title or Position	:	CEO
Name	:	PHILIP JOSEPH BAKER
Credential	:	PHARMD
Telephone Number	:	901-921-3039

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	04/23/2019

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Directions to “AERARX LLC ” Practice Location

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