Organization
MIG-RX CORP
Active
Other names
TRICARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR LIPETS RPH (SUPERVISING PHARMACIST)
(718) 382-9999
Entity
Organization
Contact information
Practice address
1811 KINGS HWY, BROOKLYN, NY 11229-1307
(718) 382-9999
(718) 382-9988
Mailing address
1811 KINGS HWY, BROOKLYN, NY 11229-1307
(718) 382-9999
(718) 382-9988
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02335211
—
NY
01
—
3327815
NCPDP
NY
Enumeration date
12/08/2006
Last updated
03/07/2023
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