MEDICARE: RX CONSULT

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	183500000X	Pharmacist

General Provider Information

NPI Number	:	1881440139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX CONSULT

Provider Business Mailing Address
First Line	:	5519 LOU ANN ST
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-7032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5519 LOU ANN ST
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-7032
Country	:	US
Telephone Number	:	336-686-9091
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SYLVESTER SARPONG
Credential	:	PHARMD
Telephone Number	:	336-686-9091

Provider Enumeration Date	:	04/27/2024
Last Update Date	:	04/27/2024

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