Provider Demographics
NPI:1851117436
Name:MEDRITE RX INC
Entity type:Organization
Organization Name:MEDRITE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOYONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-674-6028
Mailing Address - Street 1:10618 ROCKAWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2308
Mailing Address - Country:US
Mailing Address - Phone:718-674-6028
Mailing Address - Fax:718-674-6029
Practice Address - Street 1:10618 ROCKAWAY BLVD
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2308
Practice Address - Country:US
Practice Address - Phone:718-674-6028
Practice Address - Fax:718-674-6029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-27
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy