# 79 EXPRESSRX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124723598
- **Authorized official:** ISAK AMINOV (PRESIDENT)
- **Authorized official phone:** (347) 983-1588

## Contact information

- **Practice address:** 7963A MYRTLE AVE, GLENDALE, NY 11385-7451
- **Practice address phone:** (347) 983-1588
- **Practice address fax:** (718) 223-4873
- **Mailing address:** 7963A MYRTLE AVE, GLENDALE, NY 11385-7451
- **Mailing address phone:** (347) 983-1588
- **Mailing address fax:** (718) 223-4873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 05/09/2023