Organization
MILLENIA RX CORP
Active
Other names
Millenia Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA YAKUBOV (OWNER)
(646) 767-9131
Entity
Organization
Contact information
Practice address
469 W 125TH ST, NEW YORK, NY 10027-4201
(646) 767-9131
(646) 767-9161
Mailing address
469 W 125TH ST, NEW YORK, NY 10027-4758
(646) 767-9131
(646) 767-9161
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167840
PK
—
Enumeration date
02/14/2017
Last updated
11/06/2025
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