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Organization
DIRECT RX PHARMACY INC
Active
Organization
DIRECT RX PHARMACY INC
Active
Other names
SHARONAS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE MAVLYANOV (PRESIDENT)
(718) 441-4693
Entity
Organization
Contact information
Practice address
10205 JAMAICA AVE, RICHMOND HILL, NY 11418-2006
(718) 441-4693
(718) 441-3046
Mailing address
10205 JAMAICA AVE, RICHMOND HILL, NY 11418-2010
(718) 441-4693
(718) 441-3046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
032058
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140761
PK
—
Enumeration date
05/16/2012
Last updated
06/16/2025
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