Provider Demographics
NPI:1285270801
Name:PROXSYS RX - RUSH LLC
Entity type:Organization
Organization Name:PROXSYS RX - RUSH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-242-7782
Mailing Address - Street 1:1500 URBAN CENTER DR STE 325
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2535
Mailing Address - Country:US
Mailing Address - Phone:205-533-9119
Mailing Address - Fax:205-588-0946
Practice Address - Street 1:16040 MS-16 E
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:MS
Practice Address - Zip Code:39328
Practice Address - Country:US
Practice Address - Phone:601-751-2350
Practice Address - Fax:601-751-2351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROXSYS RX - RUSH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy