Provider Demographics
NPI:1093397663
Name:WORKERS HEALTH RX. INC
Entity Type:Organization
Organization Name:WORKERS HEALTH RX. INC
Other - Org Name:VITALITYRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WIENER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-464-2532
Mailing Address - Street 1:1 DUPONT ST STE 112
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1606
Mailing Address - Country:US
Mailing Address - Phone:516-626-1384
Mailing Address - Fax:
Practice Address - Street 1:1 DUPONT ST STE 112
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1606
Practice Address - Country:US
Practice Address - Phone:855-777-8299
Practice Address - Fax:516-464-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY038701OtherNEW YORK BOP REGISTARTION