# SAMP RX INC.

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

## Provider details

- **NPI number:** 1861005357
- **Authorized official:** KALPESH PATEL (VICE PRESIDENT)
- **Authorized official phone:** (718) 324-0555

## Contact information

- **Practice address:** 4704 WHITE PLAINS RD, BRONX, NY 10470-1103
- **Practice address phone:** (718) 324-0555
- **Practice address fax:** (718) 324-4574
- **Mailing address:** 4704 WHITE PLAINS RD, BRONX, NY 10470-1103
- **Mailing address phone:** (718) 324-0555
- **Mailing address fax:** (718) 324-4574

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2020
- **Last updated:** 08/27/2020