Organization
RUDRA RX INC.
Active
Other names
New Concourse Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYPRAINE TATI AWUNG PHARMACIST (OWNER & SUPERVISING PHARMACIST)
(347) 590-2863
Entity
Organization
Contact information
Practice address
2395 GRAND CONCOURSE, BRONX, NY 10468-6823
(347) 590-2863
(347) 590-2864
Mailing address
2395 GRAND CONCOURSE, BRONX, NY 10468-6823
(347) 590-2863
(347) 590-2864
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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