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Organization
RAINA RX, LLC
Active
Organization
RAINA RX, LLC
Active
Other names
Route 300 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MAROULIS PHARMD (VICE PRESIDENT)
(689) 263-5021
Entity
Organization
Contact information
Practice address
1208 ROUTE 300 STE 103, NEWBURGH, NY 12550-5003
(800) 810-9274
Mailing address
3200 LAKE EMMA RD UNIT 1000, LAKE MARY, FL 32746-3358
(845) 275-0816
(845) 275-0846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034308
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04949428
—
NY
01
—
2158749
PK
—
Enumeration date
02/22/2016
Last updated
06/05/2026
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