Organization
VALLEY STREAM RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKITA BLUMENTAL (PRESIDENT)
(323) 573-1823
Entity
Organization
Contact information
Practice address
209 ROCKAWAY AVE, VALLEY STREAM, NY 11580-5825
(516) 284-7257
(516) 612-2639
Mailing address
209 ROCKAWAY AVE, VALLEY STREAM, NY 11580-5825
(516) 284-7257
(516) 612-2639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
07/12/2022
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