Healthcare Provider Details

I. General information

NPI: 1609981646
Provider Name (Legal Business Name): REX DRUG CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 N MAIN ST
YERINGTON NV
89447-2278
US

IV. Provider business mailing address

PO BOX 814
YERINGTON NV
89447-0814
US

V. Phone/Fax

Practice location:
  • Phone: 775-463-2345
  • Fax: 775-463-9135
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH00369
License Number StateNV

VIII. Authorized Official

Name: MATTHEW CHRISTENSEN
Title or Position: OWNER
Credential: PHARM.D.
Phone: 775-463-2345