Organization
RKD RX CORP
Active
Other names
RKD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SLAVA BASSANELL (PRESIDENT)
(718) 551-7844
Entity
Organization
Contact information
Practice address
3911 104TH ST, CORONA, NY 11368-2313
(929) 444-6480
(866) 623-4329
Mailing address
3911 104TH ST, CORONA, NY 11368-2313
(929) 444-6480
(866) 623-4329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035360
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170063
PK
—
Enumeration date
07/07/2017
Last updated
05/03/2018
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