MEDICARE: RX.COM PHARMACY

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	23915	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4533899	OTHER	TX	NCPDP
2	23915	OTHER	TX	STATE PHARMACY LICENSE NU

General Provider Information

NPI Number	:	1659377984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX.COM PHARMACY

Provider Business Mailing Address
First Line	:	401 S JIM WRIGHT FREEWAY
Second Line	:	SUITE 102
City	:	FORT WORTH
State	:	TX
Zip	:	76108-2681
Country	:	US
Telephone Number	:	817-547-1000
Fax Number	:	817-547-1049

Provider Business Practice Location Address
First Line	:	401 S JIM WRIGHT FREEWAY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76108-2681
Country	:	US
Telephone Number	:	817-547-1000
Fax Number	:	817-547-1049

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MR. CHARLES F BEST
Credential	:	TX 28534
Telephone Number	:	866-361-0300

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/07/2023

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Directions to “RX.COM PHARMACY ” Practice Location

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