Healthcare Provider Details
I. General information
NPI: 1881331338
Provider Name (Legal Business Name): PERFECTION RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2022
Last Update Date: 05/17/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3248 LANTANA RD
LAKE WORTH FL
33462-2432
US
IV. Provider business mailing address
3248 LANTANA RD
LAKE WORTH FL
33462-2432
US
V. Phone/Fax
- Phone: 561-898-1450
- Fax:
- Phone: 561-898-1450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
BIGLEY
Title or Position: OWNER
Credential:
Phone: 412-897-8574