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Organization
KINGDOM RX CORP
Active
Organization
KINGDOM RX CORP
Active
Other names
TREMONT CHEMIST
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK SULIMANOV PHARMD (PHARMACIST/OWNER)
(917) 455-6788
Entity
Organization
Contact information
Practice address
3131 E TREMONT AVE, BRONX, NY 10461-5719
(718) 822-5900
(718) 822-5909
Mailing address
3131 E TREMONT AVE, BRONX, NY 10461-5719
(718) 822-5900
(718) 822-5909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
030359
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127240
PK
—
05
—
3291334
—
NY
Enumeration date
10/18/2010
Last updated
11/07/2016
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