# BLONDELL RX NY LLC

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

## Provider details

- **NPI number:** 1356965636
- **Authorized official:** GARI BASIN (PIC)
- **Authorized official phone:** (347) 691-3494

## Contact information

- **Practice address:** 1642 EASTCHESTER RD, BRONX, NY 10461-2316
- **Practice address phone:** (347) 691-3494
- **Practice address fax:** (347) 691-3496
- **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:** 10/04/2023