Healthcare Provider Details

I. General information

NPI: 1780251819
Provider Name (Legal Business Name): RX PLUS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N STATE HWY 47 STE C
WARRENTON MO
63383
US

IV. Provider business mailing address

609 N STATE HWY 47 STE C
WARRENTON MO
63383
US

V. Phone/Fax

Practice location:
  • Phone: 636-377-4102
  • Fax: 636-377-4103
Mailing address:
  • Phone: 636-377-4102
  • Fax: 636-377-4103

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 Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL GRAUMENZ
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 636-377-4102