Provider Demographics
NPI:1033683891
Name:ANCHOR RX PHARMACY INC.
Entity Type:Organization
Organization Name:ANCHOR RX PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAISEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHODZHAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-712-4307
Mailing Address - Street 1:3110 LONG BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3200
Mailing Address - Country:US
Mailing Address - Phone:516-992-8449
Mailing Address - Fax:516-992-8451
Practice Address - Street 1:3110 LONG BEACH RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3200
Practice Address - Country:US
Practice Address - Phone:516-992-8449
Practice Address - Fax:516-992-8451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy