=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700162864
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAZI RX INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2011
-----------------------------------------------------
Last Update Date | 01/18/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 708 W SPRING VALLEY RD
-----------------------------------------------------
City | RICHARDSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75080-7216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-479-9292
-----------------------------------------------------
Fax | 972-479-9293
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8060 SPRING VALLEY RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75240-3827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-570-1610
-----------------------------------------------------
Fax | 214-570-1620
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SAADI NEAMATI
-----------------------------------------------------
Credential | PHARM.D
-----------------------------------------------------
Telephone | 214-570-1610
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 27620
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------