Organization
BRIGHTON RX INC
Active
Other names
BRIGHTON RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
AZAR KAMKHEHJI (PRES)
(718) 332-8428
Entity
Organization
Contact information
Practice address
277 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7410
(718) 332-8428
(718) 332-6435
Mailing address
277 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7410
(718) 332-8428
(718) 332-6435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024762
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075730
—
NY
01
—
2061622
PK
—
Enumeration date
11/17/2006
Last updated
03/31/2016
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