Pharmacy 63rd Rx Corp.

NPI #1386438604 in Rego Park, New York

Provider Information

NPI Number
1386438604
Entity Type
Organization
Organization Name
Pharmacy 63rd Rx Corp.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 9, 2025
Last Updated
Feb 3, 2026

Practice Location

Address
9855 63RD RD
ZIP Code
11374-1739
Phone
(718) 897-4747

Authorized Official

Name
STANISLAV SHIMUNOV
Title
PRESIDENT
Phone
(718) 897-4747

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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