Healthcare Provider Details

I. General information

NPI: 1023855152
Provider Name (Legal Business Name): PERFECTRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W MADISON ST STE 2
WASHINGTON IA
52353-1624
US

IV. Provider business mailing address

1010 W MADISON ST STE 2
WASHINGTON IA
52353-1624
US

V. Phone/Fax

Practice location:
  • Phone: 844-597-6278
  • Fax:
Mailing address:
  • Phone: 844-597-6278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TODD THOMPSON
Title or Position: MANAGING MEMBER
Credential: RPH
Phone: 844-597-6278