Organization
909 COLUMBUS RX NY LLC
Active
Other names
Quick Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KRAVTSOVA (PIC)
(917) 830-2522
Entity
Organization
Contact information
Practice address
909 COLUMBUS AVE, NEW YORK, NY 10025-4041
(212) 222-6388
(646) 386-7656
Mailing address
1047 SURF AVE, 2ND FLOOR, BROOKLYN, NY 11224-2810
(212) 249-8202
(917) 722-0851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570827
—
NY
01
—
038229
STATE LICENSE
NY
01
—
2118151
PK
—
Enumeration date
11/17/2008
Last updated
03/29/2021
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