Healthcare Provider Details

I. General information

NPI: 1265597447
Provider Name (Legal Business Name): RXPLUS LIMITED PALISADE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 03/23/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 ELBERTA AVE UNIT B
PALISADE CO
81526-8806
US

IV. Provider business mailing address

707 ELBERTA AVE UNIT B
PALISADE CO
81526-8806
US

V. Phone/Fax

Practice location:
  • Phone: 970-464-5668
  • Fax: 970-464-5664
Mailing address:
  • Phone: 970-464-5668
  • Fax: 970-464-5664

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 Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BENJAMIN
Title or Position: OWNER/MANAGER
Credential: RPH
Phone: 970-464-5668