Provider Demographics
NPI:1619566411
Name:MAGNET RX LLC
Entity Type:Organization
Organization Name:MAGNET RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANTAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-728-6878
Mailing Address - Street 1:7702 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1219
Mailing Address - Country:US
Mailing Address - Phone:718-728-6878
Mailing Address - Fax:718-728-6843
Practice Address - Street 1:7702 21ST AVE
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1219
Practice Address - Country:US
Practice Address - Phone:718-728-6878
Practice Address - Fax:718-728-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy