Organization
1413 RX NY LLC
Active
Other names
Quick Rx
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR WHITMAN (PIC)
(917) 830-2522
Entity
Organization
Contact information
Practice address
1456 FULTON ST, BROOKLYN, NY 11216-2505
(718) 638-5088
(718) 228-5008
Mailing address
1047 SURF AVE, 2ND FLOOR, BROOKLYN, NY 11224-2810
(212) 249-8202
(917) 722-0851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03056168
—
NY
01
—
2120017
PK
—
Enumeration date
01/07/2009
Last updated
03/18/2021
About Stedi
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