Provider Demographics
NPI:1790395754
Name:BRONX CHEMISTS RX INC
Entity Type:Organization
Organization Name:BRONX CHEMISTS RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGODAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-684-4590
Mailing Address - Street 1:1764 E 174TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-1842
Mailing Address - Country:US
Mailing Address - Phone:718-684-4590
Mailing Address - Fax:718-684-4591
Practice Address - Street 1:1764 E 174TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-1842
Practice Address - Country:US
Practice Address - Phone:718-684-4590
Practice Address - Fax:718-684-4591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy