Organization
786 RX INC
Active
Other names
East End Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA CHAUDHRY (PRESIDENT)
(917) 734-1042
Entity
Organization
Contact information
Practice address
210 E 116TH ST, NEW YORK, NY 10029-1452
(212) 831-1730
Mailing address
210 E 116TH ST, NEW YORK, NY 10029-1452
(212) 831-1730
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05242939
—
NY
Enumeration date
05/29/2018
Last updated
02/17/2020
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