Provider Demographics
NPI:1427292341
Name:RX SOLUTIONS PHARMACY LLC
Entity type:Organization
Organization Name:RX SOLUTIONS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-621-8175
Mailing Address - Street 1:9191 R G SKINNER PKWY
Mailing Address - Street 2:SUITE 701
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9655
Mailing Address - Country:US
Mailing Address - Phone:904-621-8175
Mailing Address - Fax:904-621-8174
Practice Address - Street 1:9191 R G SKINNER PKWY UNIT 701
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9662
Practice Address - Country:US
Practice Address - Phone:904-621-8175
Practice Address - Fax:904-621-8174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
FLPH237813336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2119688OtherPK