Provider Demographics
NPI:1871656405
Name:RX ZONE INC
Entity Type:Organization
Organization Name:RX ZONE INC
Other - Org Name:BUCHANAN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPS MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CEDENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-737-2006
Mailing Address - Street 1:12 WELCHER AVE
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5306
Mailing Address - Country:US
Mailing Address - Phone:914-737-2006
Mailing Address - Fax:914-739-2009
Practice Address - Street 1:12 WELCHER AVE
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-5306
Practice Address - Country:US
Practice Address - Phone:914-737-2006
Practice Address - Fax:914-739-8209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025492333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02311719Medicaid
3327182OtherOTHER ID NUMBER-COMMERCIAL NUMBER