Organization
R AND M DRUG CORP
Active
Other names
VITALITY DRUG & SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAL PRAJESH PATEL (SUPERVISING PHARMACIST)
(718) 343-0070
Entity
Organization
Contact information
Practice address
25921 UNION TPKE, GLEN OAKS, NY 11004-1248
(718) 343-0070
(718) 343-0096
Mailing address
25921 UNION TPKE, GLEN OAKS, NY 11004-1248
(718) 343-0070
(718) 343-0096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026154
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405012
—
NY
01
—
2059483
PK
—
Enumeration date
08/10/2006
Last updated
02/14/2024
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