Provider Demographics
NPI:1346834835
Name:GALAXY RX INC
Entity Type:Organization
Organization Name:GALAXY RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLVANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-786-8785
Mailing Address - Street 1:4702 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-6125
Mailing Address - Country:US
Mailing Address - Phone:718-786-8785
Mailing Address - Fax:718-786-8760
Practice Address - Street 1:4702 47TH AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-6125
Practice Address - Country:US
Practice Address - Phone:718-786-8785
Practice Address - Fax:718-786-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy