Organization
LOCAL RX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIY DAVIDOV (SUPERVISING PHARMACIST)
(718) 577-0200
Entity
Organization
Contact information
Practice address
9516 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 275-5300
Mailing address
9516 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 275-5300
(718) 275-5311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/19/2014
Last updated
03/16/2016
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