Provider Demographics
NPI:1619738143
Name:RICHMOND HILL CHEMISTS RX LLC
Entity Type:Organization
Organization Name:RICHMOND HILL CHEMISTS RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AKSAKALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-954-9601
Mailing Address - Street 1:10823 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2243
Mailing Address - Country:US
Mailing Address - Phone:718-954-9601
Mailing Address - Fax:718-954-9603
Practice Address - Street 1:10823 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2243
Practice Address - Country:US
Practice Address - Phone:718-954-9601
Practice Address - Fax:718-954-9603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy