Provider Demographics
NPI:1225389828
Name:FRIENDLY RX INC
Entity Type:Organization
Organization Name:FRIENDLY RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-567-0344
Mailing Address - Street 1:651 CONEY ISLAND AVE # C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4306
Mailing Address - Country:US
Mailing Address - Phone:718-732-3399
Mailing Address - Fax:718-732-3392
Practice Address - Street 1:651 CONEY ISLAND AVE # C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4306
Practice Address - Country:US
Practice Address - Phone:718-732-3399
Practice Address - Fax:718-732-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0313143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy