Provider Demographics
NPI:1568129641
Name:FILL MEDS RX INC.
Entity Type:Organization
Organization Name:FILL MEDS RX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURATOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-424-3903
Mailing Address - Street 1:1626 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2418
Mailing Address - Country:US
Mailing Address - Phone:631-424-3903
Mailing Address - Fax:631-424-3904
Practice Address - Street 1:1626 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2418
Practice Address - Country:US
Practice Address - Phone:631-424-3903
Practice Address - Fax:631-424-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY038909OtherPHARMACY REGISTRATION