Organization
R&T PHARMACY CORP.
Active
Other names
R&T PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAY ENIS (PRESIDENT)
(305) 778-8601
Entity
Organization
Contact information
Practice address
12 NEPTUNE AVE, 4430 PRAIRIE AVE, MIAMI BEACH, BROOKLYN, NY 11235-4405
(718) 975-4535
(718) 975-4534
Mailing address
12 NEPTUNE AVE, 4430 PRAIRIE AVE, MIAMI BEACH, BROOKLYN, NY 11235-4405
(718) 975-4535
(718) 975-4534
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
032993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04059481
—
NY
01
—
2168840
PK
—
Enumeration date
04/20/2017
Last updated
04/20/2017
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