Organization
PRESTIGE RX LLC
Active
Other names
Prestige Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SALIM FAOUR (ONWER)
(646) 517-0370
Entity
Organization
Contact information
Practice address
858 DEKALB AVE, BROOKLYN, NY 11221-1402
(646) 517-0370
(646) 517-0372
Mailing address
858 DEKALB AVE, BROOKLYN, NY 11221
(646) 517-0370
(646) 517-0372
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05082839
—
NY
01
—
2171433
PK
—
Enumeration date
08/21/2017
Last updated
02/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us