Provider Demographics
NPI:1053876813
Name:GENRX CORP.
Entity type:Organization
Organization Name:GENRX CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPROWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-892-4250
Mailing Address - Street 1:17250 N HARTFORD DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5496
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17250 N HARTFORD DR STE 115
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5496
Practice Address - Country:US
Practice Address - Phone:866-453-6143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy