63rd Drive Rx, Inc
63rd Drive Rx, Inc is a Long Term Care Pharmacy in Jackson Heights, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9418 Roosevelt Ave # 11C11DJackson Heights, NY 11372-7916
Phone: (718) 440-4917
Fax: (888) 654-4334
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X |
|---|
Record details
| NPI number | 1285451161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dmitriy Evtyushkin — Owner · (915) 213-8519 |
| Other names | Interpharm Rx |
| NPI enumerated | September 23, 2024 |
| Last updated in NPPES | September 23, 2024 |
| Certification date | September 23, 2024 |
| Mailing address | 9418 Roosevelt Ave # 11c11d, Jackson Heights, NY 11372-7916 |
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