Organization
DENISON RX INC.
Active
Other names
Denison Rx Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAVLE GRDZELISHVILI (PRESIDENT)
(718) 513-3210
Entity
Organization
Contact information
Practice address
815 E TREMONT AVE, STORE H, BRONX, NY 10460-4108
(718) 513-3210
(718) 513-3209
Mailing address
815 E TREMONT AVE, STORE H, BRONX, NY 10460-4108
(718) 513-3210
(718) 513-3209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
035099
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167261
PK
—
Enumeration date
01/06/2017
Last updated
02/24/2017
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