Organization
BRAND RX PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALISHO FATTAHOV (PRESIDENT)
(718) 393-2300
Entity
Organization
Contact information
Practice address
97-05 A 57TH AVENUE, CORONA, NY 11368
(718) 393-2300
(718) 393-2311
Mailing address
97-05 A 57TH AVENUE, CORONA, NY 11368
(718) 393-2300
(718) 393-2311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035409
NY
Other
Enumeration date
05/30/2017
Last updated
06/03/2020
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