Organization
LOCAL RX, INC
Active
Other names
Colony Drugs and Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
AARON USTAYEV RPM (PRESIDENT)
(718) 897-3016
Entity
Organization
Contact information
Practice address
10319 QUEENS BLVD, FOREST HILLS, NY 11375-3447
(718) 897-4888
(718) 897-6057
Mailing address
10319 QUEENS BLVD, FOREST HILLS, NY 11375-3447
(718) 897-4888
(718) 897-6057
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02183237
—
NY
Enumeration date
08/30/2006
Last updated
08/22/2020
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