Organization
909 COLUMBUS RX NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KRAVTSOVA (PIC)
(917) 830-2522
Entity
Organization
Contact information
Practice address
909 COLUMBUS AVE, NEW YORK, NY 10025-4041
(212) 222-6388
(646) 386-7656
Mailing address
1047 SURF AVE FL 2, BROOKLYN, NY 11224-2810
(917) 830-2522
(917) 722-0851
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
03/18/2021
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