Provider Demographics
NPI:1669101705
Name:NATIONAL RX DIRECT
Entity type:Organization
Organization Name:NATIONAL RX DIRECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-628-2111
Mailing Address - Street 1:500 DISCOVERY PKWY STE 375
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8641
Mailing Address - Country:US
Mailing Address - Phone:303-628-2111
Mailing Address - Fax:303-628-2105
Practice Address - Street 1:500 DISCOVERY PKWY STE 375
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8641
Practice Address - Country:US
Practice Address - Phone:303-628-2111
Practice Address - Fax:303-628-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy