# CHRONICARE LTC RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mend Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003369315
- **Authorized official:** OLEG ARONOV (MANAGING MEMBER)
- **Authorized official phone:** (718) 275-8900

## Contact information

- **Practice address:** 58-22/24 99TH ST, CORONA, NY 11368
- **Practice address phone:** (718) 590-5999
- **Practice address fax:** (718) 590-5966
- **Mailing address:** 58-22/24 99TH ST, CORONA, NY 11368
- **Mailing address phone:** (718) 590-5999
- **Mailing address fax:** (718) 590-5966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 034606 | NY | Yes |

## Other

- **Enumeration date:** 08/03/2016
- **Last updated:** 08/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04701162 | — | NY |
| 01 | — | 2163635 | PK | — |