Provider Demographics
NPI:1023411295
Name:ALL RX PHARMACY II INC
Entity type:Organization
Organization Name:ALL RX PHARMACY II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KWOK
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-7800
Mailing Address - Street 1:1231 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4101
Mailing Address - Country:US
Mailing Address - Phone:718-375-7800
Mailing Address - Fax:718-375-7801
Practice Address - Street 1:1231 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4101
Practice Address - Country:US
Practice Address - Phone:718-375-7800
Practice Address - Fax:718-375-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04143904Medicaid