Organization
ROCKAWAY RX PHARMACY LLC
Active
Other names
ROCKAWAY RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERSHON BATUROV (OWNER)
(718) 975-4666
Entity
Organization
Contact information
Practice address
1367 ROCKAWAY PKWY, BROOKLYN, NY 11236-2321
(718) 975-4666
(718) 975-2182
Mailing address
1367 ROCKAWAY PKWY, BROOKLYN, NY 11236-2321
(718) 975-4666
(718) 975-2182
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154408
PK
—
Enumeration date
10/02/2015
Last updated
04/20/2017
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