Organization
INNOVIA RX INC.
Active
Other names
Prescription Centre & Surgicals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY V MANGALATH (PRESIDENT)
(631) 698-2868
Entity
Organization
Contact information
Practice address
35 MIDDLE COUNTRY RD STE H, CORAM, NY 11727-4478
(631) 698-2868
Mailing address
35 MIDDLE COUNTRY RD STE H, CORAM, NY 11727-4478
(631) 698-2868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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