Provider Demographics
NPI:1962249748
Name:REGION RX LLC
Entity type:Organization
Organization Name:REGION RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-662-3533
Mailing Address - Street 1:1200 STATE ROUTE 208 STE 1
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-4649
Mailing Address - Country:US
Mailing Address - Phone:845-782-2260
Mailing Address - Fax:845-783-9295
Practice Address - Street 1:1200 STATE ROUTE 208 STE 1
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4649
Practice Address - Country:US
Practice Address - Phone:845-782-2260
Practice Address - Fax:845-783-9295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy