Provider Demographics
NPI:1639838519
Name:ROCKVILLE RX INC
Entity Type:Organization
Organization Name:ROCKVILLE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KATANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-636-5635
Mailing Address - Street 1:17 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5224
Mailing Address - Country:US
Mailing Address - Phone:516-636-5635
Mailing Address - Fax:516-636-5111
Practice Address - Street 1:17 N PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5224
Practice Address - Country:US
Practice Address - Phone:516-636-5635
Practice Address - Fax:516-636-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy