Organization · NPI-2

Advanced Rx, INC.

Pharmacy, Community/Retail Pharmacy · Jackson Heights, NY

NPI number1891247433
StatusActive
Last updated in NPPESMay 21, 2018

Details

NPI
1891247433
Entity type
Organization (NPI-2)
Legal business name
Advanced Rx, INC.
Organization subpart
No
Enumeration date
Oct 31, 2016
Last updated
May 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy034869NYYes
333600000X Pharmacy––

Other names

  • Advanced Rx INC. (Doing Business As)

Practice location

76-12 Roosevelt Ave
Jackson Heights, NY 11372

Phone 718-803-0500 · Fax 718-803-0501

Mailing address

76-12 Roosevelt Ave
Jackson Heights, NY 11372

Phone 718-803-0500 · Fax 718-803-0501

Authorized official

Jhony S Siu
Owner
7188030500

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