Organization
EZ RX PHARMACY INC
Active
Other names
ez rx pharmacy, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELMEZ ALILEALA (OWNER-SP PHARMAXIST-OFFICER)
(347) 560-6560
Entity
Organization
Contact information
Practice address
8802 4TH AVE, BROOKLYN, NY 11209-5606
(347) 560-6560
(347) 560-6562
Mailing address
8802 4TH AVE, BROOKLYN, NY 11209-5606
(347) 560-6560
(347) 560-6562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030240
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03268471
—
NY
01
—
2126286
PK
—
Enumeration date
08/17/2010
Last updated
02/07/2014
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