Provider Demographics
NPI:1023855152
Name:PERFECTRX, LLC
Entity type:Organization
Organization Name:PERFECTRX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:844-597-6278
Mailing Address - Street 1:1010 W MADISON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-1624
Mailing Address - Country:US
Mailing Address - Phone:844-597-6278
Mailing Address - Fax:
Practice Address - Street 1:1010 W MADISON ST STE 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-1624
Practice Address - Country:US
Practice Address - Phone:844-597-6278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERFECTRX, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy