# FILL RX NY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972134930
- **Authorized official:** BENSION MOSHEYEV (PRESIDENT)
- **Authorized official phone:** (718) 884-8884

## Contact information

- **Practice address:** 5906B RIVERDALE AVE, BRONX, NY 10471-1603
- **Practice address phone:** (718) 884-8884
- **Practice address fax:** (718) 884-8883
- **Mailing address:** 5906B RIVERDALE AVE, BRONX, NY 10471-1603
- **Mailing address phone:** (718) 884-8884
- **Mailing address fax:** (718) 884-8883

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 02/24/2021