# MIG-RX CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRICARE PHARMACY (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578405817
- **Authorized official:** GENNADY KUPERSHMIDT (OWNER)
- **Authorized official phone:** (718) 382-9999

## Contact information

- **Practice address:** 1811 KINGS HWY, BROOKLYN, NY 11229-1307
- **Practice address phone:** (718) 382-9999
- **Practice address fax:** (718) 382-9988
- **Mailing address:** 1811 KINGS HWY, BROOKLYN, NY 11229-1307
- **Mailing address phone:** (718) 382-9999
- **Mailing address fax:** (718) 382-9988

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2026
- **Last updated:** 04/07/2026