Organization
CHRONICARE LTC RX, LLC
Active
Other names
Mend Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG ARONOV (MANAGING MEMBER)
(718) 275-8900
Entity
Organization
Contact information
Practice address
58-22/24 99TH ST, CORONA, NY 11368
(718) 590-5999
(718) 590-5966
Mailing address
58-22/24 99TH ST, CORONA, NY 11368
(718) 590-5999
(718) 590-5966
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
034606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04701162
—
NY
01
—
2163635
PK
—
Enumeration date
08/03/2016
Last updated
08/01/2024
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