Provider Demographics
NPI:1316355456
Name:DOSES RX, LLC
Entity type:Organization
Organization Name:DOSES RX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MAYER
Authorized Official - Middle Name:
Authorized Official - Last Name:MALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-400-9100
Mailing Address - Street 1:353 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1667
Mailing Address - Country:US
Mailing Address - Phone:516-495-9311
Mailing Address - Fax:516-400-9090
Practice Address - Street 1:353 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1667
Practice Address - Country:US
Practice Address - Phone:516-400-9100
Practice Address - Fax:516-400-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032950333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy