Healthcare Provider Details

I. General information

NPI: 1952111619
Provider Name (Legal Business Name): PERFECTRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 E SHEA BLVD
SCOTTSDALE AZ
85260-6991
US

IV. Provider business mailing address

PO BOX 12952
SCOTTSDALE AZ
85267-2952
US

V. Phone/Fax

Practice location:
  • Phone: 623-800-4743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON KAMAU
Title or Position: AUTHORIZED OFFICIAL- CEO
Credential:
Phone: 623-800-4743