Organization
EZRX CHEMISTS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN KUSAYEV (PRESIDENT)
(917) 776-7703
Entity
Organization
Contact information
Practice address
15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
(718) 374-3178
(718) 374-3126
Mailing address
15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
(718) 374-3178
(718) 374-3126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
03/09/2022
Last updated
12/06/2022
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