Organization
MEDICINE CENTER RX LLC
Active
Other names
Medicine Center Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJ TIRUNAGARI (PRESIDENT)
(718) 410-2814
Entity
Organization
Contact information
Practice address
92 E 167TH ST, BRONX, NY 10452-8203
(718) 410-2814
(718) 410-2824
Mailing address
92 E 167TH ST, BRONX, NY 10452-8203
(718) 410-2814
(718) 410-2824
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3360221
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/20/2008
Last updated
02/01/2023
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