Provider Demographics
NPI:1093588444
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:MR
Authorized Official - First Name:YOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-775-4175
Mailing Address - Street 1:1291 DOLSONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4771
Mailing Address - Country:US
Mailing Address - Phone:845-775-4175
Mailing Address - Fax:845-775-4185
Practice Address - Street 1:1291 DOLSONTOWN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4771
Practice Address - Country:US
Practice Address - Phone:845-775-4175
Practice Address - Fax:845-775-4185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy