Provider Demographics
NPI:1588895882
Name:RX PROS INC
Entity type:Organization
Organization Name:RX PROS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOTARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-812-2305
Mailing Address - Street 1:10374 HIGHWAY 165 N STE C
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3320
Mailing Address - Country:US
Mailing Address - Phone:318-812-2305
Mailing Address - Fax:318-665-0092
Practice Address - Street 1:10374 HIGHWAY 165 N STE C
Practice Address - Street 2:
Practice Address - City:STERLINGTON
Practice Address - State:LA
Practice Address - Zip Code:71280
Practice Address - Country:US
Practice Address - Phone:318-812-2305
Practice Address - Fax:318-665-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY.007355-IR3336C0003X
LAPHY.006140-IR3336C0003X
3336S0011X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121122OtherPK