Organization
PRIME RX PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL KHAIMOV (PRESIDENT)
(917) 771-9220
Entity
Organization
Contact information
Practice address
7517 JAMAICA AVE, WOODHAVEN, NY 11421-1849
(718) 296-0202
(718) 880-1818
Mailing address
7517 JAMAICA AVE, WOODHAVEN, NY 11421-1849
(718) 296-0202
(718) 880-1818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
09/10/2014
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