Provider Demographics
NPI:1316483472
Name:HEALTH SAVER RX, LLC
Entity type:Organization
Organization Name:HEALTH SAVER RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/AUTHORIZED SIGNATORY
Authorized Official - Prefix:
Authorized Official - First Name:JELANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-307-4580
Mailing Address - Street 1:3809 BEAM ROAD SUITE H
Mailing Address - Street 2:SUITE H
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217
Mailing Address - Country:US
Mailing Address - Phone:704-307-4580
Mailing Address - Fax:704-631-9522
Practice Address - Street 1:3809 BEAM ROAD SUITE H
Practice Address - Street 2:SUITE H
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217
Practice Address - Country:US
Practice Address - Phone:704-307-4580
Practice Address - Fax:704-631-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy