MEDICARE: LEARNINGRX, 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	174400000X	Specialist

General Provider Information

NPI Number	:	1629266838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEARNINGRX, INC

Provider Business Mailing Address
First Line	:	830 TENDERFOOT HILL RD
Second Line	:	310
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-2314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 TENDERFOOT HILL RD
Second Line	:	310
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-2314
Country	:	US
Telephone Number	:	719-527-0033
Fax Number	:

Authorized Official
Title or Position	:	MILITARY LIASON
Name	:	SARAH ROSS
Credential	:
Telephone Number	:	719-527-0604

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	10/12/2007

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