Organization
PUTNAM RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELANA MATATOV (OWNER)
(347) 510-2484
Entity
Organization
Contact information
Practice address
6097 PUTNAM AVE, RIDGEWOOD, NY 11385-4529
(347) 763-0033
(347) 763-0062
Mailing address
6097 PUTNAM AVE, RIDGEWOOD, NY 11385-4529
(347) 763-0033
(347) 763-0062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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