Provider Demographics
NPI:1588815997
Name:RESOLUTION RX INC
Entity Type:Organization
Organization Name:RESOLUTION RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGLIARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-641-9142
Mailing Address - Street 1:11 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-1404
Mailing Address - Country:US
Mailing Address - Phone:866-639-0542
Mailing Address - Fax:866-214-5222
Practice Address - Street 1:11 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-1404
Practice Address - Country:US
Practice Address - Phone:866-639-0542
Practice Address - Fax:866-214-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029117333600000X, 3336C0003X
3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117273OtherPK
NY03380412Medicaid