Healthcare Provider Details

I. General information

NPI: 1457726671
Provider Name (Legal Business Name): RX2U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 E FLAMINGO RD STE B
LAS VEGAS NV
89119-5256
US

IV. Provider business mailing address

1485 E FLAMINGO RD SUITE B
LAS VEGAS NV
89119-5256
US

V. Phone/Fax

Practice location:
  • Phone: 702-252-7928
  • Fax: 702-227-7928
Mailing address:
  • Phone: 702-252-7928
  • Fax: 702-227-7928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARYAM RASTKERDAR
Title or Position: PHARMACIST
Credential:
Phone: 702-426-5100