MEDICARE: RAZI RX INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	26307	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2118677	OTHER		PK

General Provider Information

NPI Number	:	1629216908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAZI RX INC

Provider Business Mailing Address
First Line	:	8060 SPRING VALLEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-3827
Country	:	US
Telephone Number	:	214-570-1610
Fax Number	:	214-570-1620

Provider Business Practice Location Address
First Line	:	3460 WEBB CHAPEL EXT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-6751
Country	:	US
Telephone Number	:	214-350-6600
Fax Number	:	214-350-6605

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SAADI NEAMATI
Credential	:	PHARM.D
Telephone Number	:	214-570-1610

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	01/18/2017

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Directions to “RAZI RX INC ” Practice Location

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