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Organization
SUPREME RX PHARMACY CORP
Active
Organization
SUPREME RX PHARMACY CORP
Active
Other names
SUPREME RX PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MIZRAHI BS (PHARMACIST)
(718) 677-6600
Entity
Organization
Contact information
Practice address
3011 AVENUE N, BROOKLYN, NY 11210-5410
(718) 677-6600
(718) 677-6601
Mailing address
3011 AVENUE N, BROOKLYN, NY 11210-5410
(718) 677-6600
(718) 677-6601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030447
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128216
PK
—
05
—
3299869
—
NY
Enumeration date
08/14/2010
Last updated
09/19/2025
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