Organization
PHARMA RX INC
Active
Other names
PHARMA RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
YAN BIBICHAYEV (AUTHORIZED OFFICIAL)
(718) 748-1400
Entity
Organization
Contact information
Practice address
6806 4TH AVE, BROOKLYN, NY 11220-5372
(718) 748-1400
(718) 748-1405
Mailing address
6806 4TH AVE, BROOKLYN, NY 11220-5372
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A100300920
—
NY
Enumeration date
02/03/2022
Last updated
01/30/2023
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