Provider Demographics
NPI:1548652258
Name:INKRX LLC.
Entity type:Organization
Organization Name:INKRX LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DHIRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-684-1579
Mailing Address - Street 1:13111 HUEBNER ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1693
Mailing Address - Country:US
Mailing Address - Phone:210-684-1579
Mailing Address - Fax:210-455-2513
Practice Address - Street 1:13111 HUEBNER ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1693
Practice Address - Country:US
Practice Address - Phone:210-684-1579
Practice Address - Fax:210-455-2513
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INKRX LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-04
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy