Organization
SUPREME RX PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MIZRAHI RPH (SUPERVISING PHARMACIST/OWNER)
(917) 991-5380
Entity
Organization
Contact information
Practice address
3011 AVENUE N, BROOKLYN, NY 11210-5410
(917) 416-8471
(718) 677-6601
Mailing address
3011 AVENUE N, BROOKLYN, NY 11210-5410
(917) 416-8471
(718) 677-6601
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
02/14/2025
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