Organization
MY RX PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS KANDOV (OWNER)
(718) 969-6979
Entity
Organization
Contact information
Practice address
17815 UNION TPKE, FRESH MEADOWS, NY 11366-1633
(718) 969-6979
(718) 969-4111
Mailing address
17815 UNION TPKE, FRESH MEADOWS, NY 11366-1633
(718) 969-6979
(718) 969-4111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030639
NY
3336C0004X
Compounding Pharmacy
030639
NY
3336S0011X
Specialty Pharmacy
030639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030639
STATE
NY
Enumeration date
03/17/2011
Last updated
04/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us