Provider Demographics
NPI:1942249347
Name:R&R SAKS PHARMACY CORP
Entity Type:Organization
Organization Name:R&R SAKS PHARMACY CORP
Other - Org Name:BETTER HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARATI
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-622-4743
Mailing Address - Street 1:1147 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2613
Mailing Address - Country:US
Mailing Address - Phone:718-622-4743
Mailing Address - Fax:718-638-9007
Practice Address - Street 1:1147 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2613
Practice Address - Country:US
Practice Address - Phone:718-622-4743
Practice Address - Fax:718-638-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4922110001Medicare ID - Type UnspecifiedMEDICARE PROVIDER