Organization
NUGENEREX PTX2 LLC
Active
Other names
NuGenerex RX
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CRISCI (OFFICER)
(914) 527-1183
Entity
Organization
Contact information
Practice address
12650 N BEACH ST STE 112, FORT WORTH, TX 76244-4248
(817) 329-8444
Mailing address
10102 USA TODAY WAY, MIRAMAR, FL 33025-3903
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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