Provider Demographics
NPI:1609427749
Name:CLAREMONT RX INC
Entity Type:Organization
Organization Name:CLAREMONT RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRAO ECHEVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-867-6200
Mailing Address - Street 1:243 E 172ND ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8902
Mailing Address - Country:US
Mailing Address - Phone:347-867-6200
Mailing Address - Fax:347-867-6231
Practice Address - Street 1:243 E 172ND ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8902
Practice Address - Country:US
Practice Address - Phone:347-867-6200
Practice Address - Fax:347-867-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy