Organization
MY RX INC
Active
Other names
My Rx
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS KANDOV (PRESIDENT)
(646) 361-8367
Entity
Organization
Contact information
Practice address
16303 HORACE HARDING EXPY, FLUSHING, NY 11365-1454
(347) 542-3391
(347) 542-3508
Mailing address
16303 HORACE HARDING EXPY, FLUSHING, NY 11365-1454
(347) 542-3391
(347) 542-3508
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
031283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136396
PK
—
Enumeration date
05/20/2012
Last updated
11/24/2014
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