Provider Demographics
NPI:1295495679
Name:RX WORLD PHARMACY SUPPLIES LLC
Entity type:Organization
Organization Name:RX WORLD PHARMACY SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:SUBBA
Authorized Official - Middle Name:NAIDU
Authorized Official - Last Name:NAGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-496-9356
Mailing Address - Street 1:2580 ADAM CLAYTON POWELL JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-2620
Mailing Address - Country:US
Mailing Address - Phone:212-234-4493
Mailing Address - Fax:212-234-4496
Practice Address - Street 1:2580 ADAM CLAYTON POWELL JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-2620
Practice Address - Country:US
Practice Address - Phone:212-234-4493
Practice Address - Fax:212-234-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy