Provider Demographics
NPI:1821454265
Name:VISRX INC
Entity Type:Organization
Organization Name:VISRX INC
Other - Org Name:NYC CHELSEA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BANDLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-776-4444
Mailing Address - Street 1:215 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7108
Mailing Address - Country:US
Mailing Address - Phone:212-776-4444
Mailing Address - Fax:212-776-4445
Practice Address - Street 1:215 W 14TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7108
Practice Address - Country:US
Practice Address - Phone:212-776-4444
Practice Address - Fax:212-776-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy