Organization · NPI-2

57 Rx Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Corona, NY

NPI number1174427405
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1174427405
Entity type
Organization (NPI-2)
Legal business name
57 Rx Pharmacy INC
Organization subpart
No
Enumeration date
Oct 8, 2026
Certification date
Oct 5, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

9705 57th Ave Ste 2
Corona, NY 11368-3540

Phone 718-433-9105 · Fax 718-433-9104

Mailing address

97-05 #2 57 Ave
Corona, NY 11368

Phone 718-433-9105 · Fax 718-433-9104

Authorized official

Dmitri Pyak
Owner
7184339105

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