# REZK PHARMACY LLC

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

## Provider details

- **NPI number:** 1275856148
- **Authorized official:** DR. RICHARD JOSEPH REZK PHARM D (PHARMACIST)
- **Authorized official phone:** (814) 243-4915

## Contact information

- **Practice address:** 204 SOUTH MAIN ST, SUITE 100, CARROLLTOWN, PA 15722
- **Practice address phone:** (814) 344-2200
- **Practice address fax:** (814) 344-2600
- **Mailing address:** PO BOX 369, CARROLLTOWN, PA 15722-0369
- **Mailing address phone:** (814) 344-2200
- **Mailing address fax:** (814) 344-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | PP481996 | PA | — |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 02/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1024911070001 | — | PA |