Provider Demographics
NPI:1821705708
Name:BRONX HOPE RX LLC
Entity Type:Organization
Organization Name:BRONX HOPE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-975-0988
Mailing Address - Street 1:1767 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4801
Mailing Address - Country:US
Mailing Address - Phone:718-975-0988
Mailing Address - Fax:
Practice Address - Street 1:1767 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4801
Practice Address - Country:US
Practice Address - Phone:718-975-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy