Provider Demographics
NPI:1588154926
Name:MEDEXRX PHARMACY, INC
Entity type:Organization
Organization Name:MEDEXRX PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-539-7540
Mailing Address - Street 1:300 HEMPSTEAD TPKE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1448
Mailing Address - Country:US
Mailing Address - Phone:516-539-7540
Mailing Address - Fax:516-539-7541
Practice Address - Street 1:300 HEMPSTEAD TPKE UNIT 5
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1448
Practice Address - Country:US
Practice Address - Phone:516-539-7540
Practice Address - Fax:516-539-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy