Organization
CROWN RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE LENTINI (SUPERVISING PHARMACIST)
(718) 778-8750
Entity
Organization
Contact information
Practice address
376 UTICA AVE, BROOKLYN, NY 11213-5551
(718) 778-8750
(718) 778-8752
Mailing address
31 WHITTIER AVE, MEDFORD, NY 11763-1269
(631) 996-9338
(631) 996-9338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033605
NY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152675
PK
—
Enumeration date
06/27/2015
Last updated
05/13/2022
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