# 909 COLUMBUS RX NY LLC

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

## Provider details

- **NPI number:** 1215551593
- **Authorized official:** JULIA KRAVTSOVA (PIC)
- **Authorized official phone:** (917) 830-2522

## Contact information

- **Practice address:** 909 COLUMBUS AVE, NEW YORK, NY 10025-4041
- **Practice address phone:** (212) 222-6388
- **Practice address fax:** (646) 386-7656
- **Mailing address:** 1047 SURF AVE FL 2, BROOKLYN, NY 11224-2810
- **Mailing address phone:** (917) 830-2522
- **Mailing address fax:** (917) 722-0851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 03/18/2021