Provider Demographics
NPI:1437428034
Name:RELION PHARMACY INC
Entity Type:Organization
Organization Name:RELION PHARMACY INC
Other - Org Name:RELION PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-691-3922
Mailing Address - Street 1:1607 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6201
Mailing Address - Country:US
Mailing Address - Phone:347-691-3922
Mailing Address - Fax:347-691-3923
Practice Address - Street 1:1607 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-6201
Practice Address - Country:US
Practice Address - Phone:347-691-3922
Practice Address - Fax:347-691-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NY0310603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5804150OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5804150OtherNCPDP PROVIDER IDENTIFICATION NUMBER