Supreme Rx Pharmacy Corp
Pharmacy, Community/Retail Pharmacy in Brooklyn, NY. Organization (NPI-2).
NPI number1699080622
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1699080622
- Entity type
- Organization (NPI-2)
- Legal business name
- Supreme Rx Pharmacy Corp
- Organization subpart
- No
- Enumeration date
- Aug 14, 2010
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 030447 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Supreme Rx Pharmacy Corp (Doing Business As)
Practice location
3011 Avenue NBrooklyn, NY 11210-5410
Phone 718-677-6600 · Fax 718-677-6601
Mailing address
3011 Avenue NBrooklyn, NY 11210-5410
Phone 718-677-6600 · Fax 718-677-6601
Authorized official
Tanya Mizrahi
Pharmacist
7186776600
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