Organization
CUSTOM RX PHARMACY LLC
Active
Other names
customrxpharmacyllc
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT PINKHASOV RPH (PHARMACIST)
(718) 830-4500
Entity
Organization
Contact information
Practice address
10203A QUEENS BLVD, FOREST HILLS, NY 11375
(718) 830-4500
(718) 830-4505
Mailing address
10203A QUEENS BLVD, FOREST HILLS, NY 11375-2857
(718) 830-4500
(718) 830-4505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04552214
—
NY
Enumeration date
03/23/2016
Last updated
12/16/2016
About Stedi
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