Healthcare Provider Details

I. General information

NPI: 1821038373
Provider Name (Legal Business Name): RX ADEL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 E SANTA FE ST
OLATHE KS
66061-3419
US

IV. Provider business mailing address

539 E SANTA FE ST
OLATHE KS
66061-3419
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-1800
  • Fax: 913-764-9127
Mailing address:
  • Phone: 913-764-1800
  • Fax: 913-764-9127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number209192
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SANOSH K. REDDY
Title or Position: PRESIDENT
Credential:
Phone: 913-764-1800