MEDICARE: RX4RELIEF, LLC

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	251K00000X	Public Health or Welfare Agency	0202009250	VA

General Provider Information

NPI Number	:	1528409257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX4RELIEF, LLC

Provider Business Mailing Address
First Line	:	82 WATERMANS CT
Second Line	:
City	:	GASBURG
State	:	VA
Zip	:	23857-2204
Country	:	US
Telephone Number	:	434-577-3118
Fax Number	:	434-577-2738

Provider Business Practice Location Address
First Line	:	82 WATERMANS CT
Second Line	:
City	:	GASBURG
State	:	VA
Zip	:	23857-2204
Country	:	US
Telephone Number	:	434-577-3118
Fax Number	:	434-577-2738

Authorized Official
Title or Position	:	PHARMACIST
Name	:	DR. JULIA W JONES
Credential	:	PHARMD
Telephone Number	:	804-691-8864

Provider Enumeration Date	:	07/10/2013
Last Update Date	:	07/10/2013

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