Provider Demographics
NPI:1144616855
Name:STANRX INC
Entity Type:Organization
Organization Name:STANRX INC
Other - Org Name:STANLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SUFICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-872-7665
Mailing Address - Street 1:807 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-8103
Mailing Address - Country:US
Mailing Address - Phone:718-872-7665
Mailing Address - Fax:718-872-7663
Practice Address - Street 1:807 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207
Practice Address - Country:US
Practice Address - Phone:718-872-7665
Practice Address - Fax:718-872-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0333613336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY033361OtherPHARMACY LICENSE
NY033361OtherPHARMACY LICENSE