Organization
EVERS PHARMACY INC
Active
Other names
Evers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HARALAMPOS RALLAKIS RPH MBA (PRESIDENT)
(646) 943-4012
Entity
Organization
Contact information
Practice address
14202 ROCKAWAY BLVD, JAMAICA, NY 11436-1402
(718) 323-8377
(718) 323-9377
Mailing address
14202 ROCKAWAY BLVD, JAMAICA, NY 11436-1402
(718) 323-8377
(718) 323-9377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
030205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125600
PK
—
05
—
3264582
—
NY
Enumeration date
06/21/2010
Last updated
03/29/2016
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