Provider Demographics
NPI:1578609889
Name:POLSAK CORPORATION
Entity Type:Organization
Organization Name:POLSAK CORPORATION
Other - Org Name:R&S PIONEER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-538-8183
Mailing Address - Street 1:1018 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-5103
Mailing Address - Country:US
Mailing Address - Phone:718-538-8183
Mailing Address - Fax:
Practice Address - Street 1:1018 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-5103
Practice Address - Country:US
Practice Address - Phone:718-538-8183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0254503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy