Provider Demographics
NPI:1346710431
Name:NEREID RX CORP
Entity Type:Organization
Organization Name:NEREID RX CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-597-3380
Mailing Address - Street 1:662 MORRIS PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3503
Mailing Address - Country:US
Mailing Address - Phone:718-597-3380
Mailing Address - Fax:718-597-0094
Practice Address - Street 1:4396 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:347-899-8350
Practice Address - Fax:347-899-8352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy