Provider Demographics
NPI:1629722814
Name:DAILY DOSE RX LLC
Entity Type:Organization
Organization Name:DAILY DOSE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ILYEVU
Authorized Official - Middle Name:ELE
Authorized Official - Last Name:KALONTAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-791-0227
Mailing Address - Street 1:6441 SAUNDERS ST APT 306
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3225
Mailing Address - Country:US
Mailing Address - Phone:718-791-0227
Mailing Address - Fax:
Practice Address - Street 1:839 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-7303
Practice Address - Country:US
Practice Address - Phone:718-908-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy