Healthcare Provider Details

I. General information

NPI: 1790346856
Provider Name (Legal Business Name): NOWRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BURLWAY RD
BURLINGAME CA
94010-1706
US

IV. Provider business mailing address

30025 ALICIA PARKWAY, SUITE 674 ATTENTION: COMPLIANCE
LAGUNA HILLS CA
92677-0000
US

V. Phone/Fax

Practice location:
  • Phone: 650-781-3751
  • Fax: 949-606-9212
Mailing address:
  • Phone: 949-449-2700
  • Fax: 949-606-9212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIE HANCOCK
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 407-777-7435