Ezrx Chemists Corp.
Pharmacy in Fresh Meadows, NY. Organization (NPI-2).
NPI number1477200467
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1477200467
- Entity type
- Organization (NPI-2)
- Legal business name
- Ezrx Chemists Corp.
- Organization subpart
- No
- Enumeration date
- Mar 9, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Practice location
15916 Union TpkeFresh Meadows, NY 11366-1954
Phone 718-374-3178 · Fax 718-374-3126
Mailing address
15916 Union TpkeFresh Meadows, NY 11366-1954
Phone 718-374-3178 · Fax 718-374-3126
Authorized official
Roman Kusayev
President
9177767703
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