# MIG-RX CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TRICARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073672606
- **Authorized official:** MR. IGOR LIPETS RPH (SUPERVISING PHARMACIST)
- **Authorized official phone:** (718) 382-9999

## Contact information

- **Practice address:** 1811 KINGS HWY, BROOKLYN, NY 11229-1307
- **Practice address phone:** (718) 382-9999
- **Practice address fax:** (718) 382-9988
- **Mailing address:** 1811 KINGS HWY, BROOKLYN, NY 11229-1307
- **Mailing address phone:** (718) 382-9999
- **Mailing address fax:** (718) 382-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025442 | NY | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02335211 | — | NY |
| 01 | — | 3327815 | NCPDP | NY |