Rebel Rx LLC
NPI #1851709943 in Roseland, New Jersey
Provider Information
- NPI Number
- 1851709943
- Entity Type
- Organization
- Organization Name
- Rebel Rx LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 1, 2014
- Last Updated
- Mar 22, 2022
Practice Location
- Address
- 178 EAGLE ROCK AVE
- Address 2
- UNIT 4
- City
- Roseland
- State
- New Jersey
- ZIP Code
- 07068
- Phone
- (973) 226-1200
Authorized Official
- Name
- MR. RENE JAVIER RODRIGUEZ, PHARMD
- Title
- OWNER
- Phone
- (201) 233-2460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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