Provider Demographics
NPI:1720525793
Name:CITY RX PHARMACY, INC.
Entity type:Organization
Organization Name:CITY RX PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIR.
Authorized Official - Prefix:
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEKARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-537-8970
Mailing Address - Street 1:7643 S. ATLANTIC AVE.
Mailing Address - Street 2:STE. A
Mailing Address - City:CUDAHY
Mailing Address - State:CA
Mailing Address - Zip Code:90201
Mailing Address - Country:US
Mailing Address - Phone:323-537-8970
Mailing Address - Fax:323-537-8991
Practice Address - Street 1:7643 S. ATLANTIC AVE.
Practice Address - Street 2:STE. A
Practice Address - City:CUDAHY
Practice Address - State:CA
Practice Address - Zip Code:90201
Practice Address - Country:US
Practice Address - Phone:323-537-8970
Practice Address - Fax:323-537-8991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA554733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167401OtherPK