Organization
ALICE RX CORP
Active
Other names
ALICE RX CORP
Organization subpart
No
Provider details
NPI number
Authorized official
AVITAL MULLOKANDOV (PRESIDENT)
(718) 502-6969
Entity
Organization
Contact information
Practice address
231 S 3RD ST, BROOKLYN, NY 11211-5601
(718) 502-6969
(718) 502-6979
Mailing address
231 S 3RD ST, BROOKLYN, NY 11211-5601
(718) 502-6969
(718) 502-6979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05592645
—
NY
01
—
2177386
PK
—
Enumeration date
04/23/2018
Last updated
07/25/2025
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