Provider Demographics
NPI:1063202174
Name:RHW COMPOUNDING LLC
Entity type:Organization
Organization Name:RHW COMPOUNDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAILICKS
Authorized Official - Suffix:
Authorized Official - Credentials:MPAFF
Authorized Official - Phone:129-994-0008
Mailing Address - Street 1:11614 BEE CAVES RD STE 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5551
Mailing Address - Country:US
Mailing Address - Phone:512-994-0008
Mailing Address - Fax:
Practice Address - Street 1:11614 BEE CAVES RD STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5551
Practice Address - Country:US
Practice Address - Phone:512-994-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy