# EZRX CHEMISTS CORP.

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

## Provider details

- **NPI number:** 1477200467
- **Authorized official:** ROMAN KUSAYEV (PRESIDENT)
- **Authorized official phone:** (917) 776-7703

## Contact information

- **Practice address:** 15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
- **Practice address phone:** (718) 374-3178
- **Practice address fax:** (718) 374-3126
- **Mailing address:** 15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
- **Mailing address phone:** (718) 374-3178
- **Mailing address fax:** (718) 374-3126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 12/06/2022