63RD DRIVE RX, INC.

JACKSON HEIGHTS, NY
NPI1285451161
Entity TypeOrganization
Authorized ContactDMITRIY EVTYUSHKIN
Owner
915-213-8519
Organization Subpart ?No
Primary Taxonomy3336L0003X Pharmacy Long Term Care Pharmacy
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
63RD DRIVE RX, INC.
9418 ROOSEVELT AVE # 11C11D
JACKSON HEIGHTS, NY 11372-7916
Phone number: 718-440-4917
Mailing Address
63RD DRIVE RX, INC.
9418 ROOSEVELT AVE # 11C11D
JACKSON HEIGHTS, NY 11372-7916
Phone number: 718-440-4917
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