Organization Name: | CSRX INC. |
NPI Number: | 1023489101 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURTIS DALE RISING (PHARMACIST OWNER) |
Mailing Address: | 1308 Mount Rushmore Rd Rapid City |
State: | SD US |
Postal Code: | 577013667 |
Phone Number: | 6057210831 |
Fax Number: | 6057167984 |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 100-2032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |