Provider Demographics
NPI:1023658135
Name:ROSEHILL PHARMACY CORP
Entity type:Organization
Organization Name:ROSEHILL PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAKHANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-684-8864
Mailing Address - Street 1:392B BEDFORD PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-2415
Mailing Address - Country:US
Mailing Address - Phone:718-684-8864
Mailing Address - Fax:
Practice Address - Street 1:392B BEDFORD PARK BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-2415
Practice Address - Country:US
Practice Address - Phone:718-684-8865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy