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Organization
REX SPECIALTY PHARMACY CORP
Active
Organization
REX SPECIALTY PHARMACY CORP
Active
Other names
Crescent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI HASSAN JAFFERY PHARM.D (PRESIDENT/SUPERVISING PHARMACIST)
(516) 593-7747
Entity
Organization
Contact information
Practice address
48 CENTRAL CT, VALLEY STREAM, NY 11580-1143
(516) 593-7747
(516) 593-7094
Mailing address
48 CENTRAL CT, VALLEY STREAM, NY 11580-1143
(516) 593-7747
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
029168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03047692
—
NY
01
—
3359533
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/03/2008
Last updated
09/14/2021
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