Provider Demographics
NPI:1992338438
Name:MD2RX LLC
Entity type:Organization
Organization Name:MD2RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-200-8059
Mailing Address - Street 1:2722 W KINGSLEY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-2407
Mailing Address - Country:US
Mailing Address - Phone:205-582-8214
Mailing Address - Fax:
Practice Address - Street 1:2722 W KINGSLEY RD STE 102
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-2407
Practice Address - Country:US
Practice Address - Phone:866-266-0514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy