# SPRUCE RX, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spruce Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760800668
- **Authorized official:** MRS. ALONA CHERVINSKY (PRESIDENT)
- **Authorized official phone:** (516) 730-9655

## Contact information

- **Practice address:** 127A SPRUCE STREET, CEDARHURST, NY 11516
- **Practice address phone:** (516) 730-9655
- **Mailing address:** 127A SPRUCE STREET, CEDARHURST, NY 11516
- **Mailing address phone:** (516) 730-9655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 032393 | NY | Yes |

## Other

- **Enumeration date:** 03/29/2014
- **Last updated:** 03/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 032393 | PHARMACY LICENSE NUMBER | NY |
