Healthcare Provider Details

I. General information

NPI: 1780016675
Provider Name (Legal Business Name): BEX RX PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 PARSONS AVE
COLUMBUS OH
43207-1931
US

IV. Provider business mailing address

1931 PARSONS AVE
COLUMBUS OH
43207-2364
US

V. Phone/Fax

Practice location:
  • Phone: 614-832-6043
  • Fax: 614-444-5125
Mailing address:
  • Phone: 614-832-6043
  • Fax: 614-444-5125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number022318350
License Number StateOH

VIII. Authorized Official

Name: MRS. REBECCA JEAN GILKEY
Title or Position: OWNER
Credential: RPH
Phone: 614-449-8000