Healthcare Provider Details

I. General information

NPI: 1568614451
Provider Name (Legal Business Name): NET RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 N MAIN ST SUITE 101
SANTA ANA CA
92701-4686
US

IV. Provider business mailing address

517 N MAIN ST SUITE 101
SANTA ANA CA
92701-4686
US

V. Phone/Fax

Practice location:
  • Phone: 714-953-6861
  • Fax: 714-953-6868
Mailing address:
  • Phone: 714-953-6861
  • Fax: 714-953-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROSSMARI RAMOS ZAMORA
Title or Position: CEO/ OWNER
Credential:
Phone: 714-953-6861