Provider Demographics
NPI:1154554962
Name:RX DEPOT INC,.
Entity type:Organization
Organization Name:RX DEPOT INC,.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EJTEMAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:202-362-0004
Mailing Address - Street 1:5185 MACARTHUR BLVD NW
Mailing Address - Street 2:#107
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3341
Mailing Address - Country:US
Mailing Address - Phone:202-362-0004
Mailing Address - Fax:202-362-0006
Practice Address - Street 1:5185 MACARTHUR BLVD NW
Practice Address - Street 2:#107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3341
Practice Address - Country:US
Practice Address - Phone:202-362-0004
Practice Address - Fax:202-362-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy