Provider Demographics
NPI:1619638426
Name:ERH RX CORP.
Entity Type:Organization
Organization Name:ERH RX CORP.
Other - Org Name:QUISQUEYA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAO
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-795-1604
Mailing Address - Street 1:174 AUDUBON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-8721
Mailing Address - Country:US
Mailing Address - Phone:212-795-1604
Mailing Address - Fax:212-795-1606
Practice Address - Street 1:174 AUDUBON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-8721
Practice Address - Country:US
Practice Address - Phone:212-795-1604
Practice Address - Fax:212-795-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy