Provider Demographics
NPI:1619454998
Name:ACCELRX INC
Entity Type:Organization
Organization Name:ACCELRX INC
Other - Org Name:LORVEN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RADHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMASAHAYM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-349-2255
Mailing Address - Street 1:942 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-1626
Mailing Address - Country:US
Mailing Address - Phone:718-349-2255
Mailing Address - Fax:718-349-2260
Practice Address - Street 1:942 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1626
Practice Address - Country:US
Practice Address - Phone:718-349-2255
Practice Address - Fax:718-349-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy