Provider Demographics
NPI:1912579145
Name:NETRX INC
Entity Type:Organization
Organization Name:NETRX INC
Other - Org Name:NETRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYZIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-685-2553
Mailing Address - Street 1:9710 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3245
Mailing Address - Country:US
Mailing Address - Phone:718-685-2553
Mailing Address - Fax:718-228-5288
Practice Address - Street 1:9710 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3245
Practice Address - Country:US
Practice Address - Phone:718-685-2553
Practice Address - Fax:718-228-5288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy