Provider Demographics
NPI:1245755354
Name:ROMAN HEALTH PHARMACY LLC
Entity Type:Organization
Organization Name:ROMAN HEALTH PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:REITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-733-3385
Mailing Address - Street 1:900 BROADWAY STE 706A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1210
Mailing Address - Country:US
Mailing Address - Phone:203-733-3385
Mailing Address - Fax:646-712-9321
Practice Address - Street 1:900 BROADWAY
Practice Address - Street 2:SUITE 706A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:203-733-3385
Practice Address - Fax:646-712-9321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROMAN HEALTH VENTURES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy