Organization
COMMUNITY CARE RX INC.
Active
Other names
COMMUNITY CARE RX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSAM MAKSOUD PHARM D. (CEO/OWNER)
(347) 561-3806
Entity
Organization
Contact information
Practice address
131 SUNNYSIDE BLVD STE 100, PLAINVIEW, NY 11803-1539
(347) 561-3806
(347) 561-3835
Mailing address
131 SUNNYSIDE BLVD STE 100, PLAINVIEW, NY 11803-1539
(347) 561-3806
(347) 561-3835
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
030632
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03361126
—
NY
01
—
2130890
PK
—
Enumeration date
06/24/2011
Last updated
06/08/2023
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