MEDICARE: RXMEDICATIONS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	RP-0002763	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2150940	OTHER		PK

General Provider Information

NPI Number	:	1487050951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RXMEDICATIONS INCORPORATED

Provider Business Mailing Address
First Line	:	522 CRATER LAKE AVE
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-6810
Country	:	US
Telephone Number	:	541-474-3784
Fax Number	:	541-774-3939

Provider Business Practice Location Address
First Line	:	162 NE BEACON DR
Second Line	:	STE 109
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-4260
Country	:	US
Telephone Number	:	541-474-3784
Fax Number	:	541-474-4979

Authorized Official
Title or Position	:	OWNER,PRES, PIC, AO
Name	:	ANGIE MEEKER
Credential	:	RPH
Telephone Number	:	541-474-3784

Provider Enumeration Date	:	11/11/2014
Last Update Date	:	01/22/2017

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Directions to “RXMEDICATIONS INCORPORATED ” Practice Location

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