Provider Demographics
NPI:1336519230
Name:PHXRX, LLC
Entity type:Organization
Organization Name:PHXRX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDNET OF PHARMACY OPS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:MACH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-360-2100
Mailing Address - Street 1:8700 COMMERCE PARK DR
Mailing Address - Street 2:SUITE 241
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7497
Mailing Address - Country:US
Mailing Address - Phone:713-360-2100
Mailing Address - Fax:713-360-2105
Practice Address - Street 1:4515 S MCCLINTOCK DR
Practice Address - Street 2:STE 210
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7376
Practice Address - Country:US
Practice Address - Phone:855-497-7956
Practice Address - Fax:855-497-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY0064653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy