MEDICARE: CHOSEN RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1427838317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOSEN RX INC

Provider Business Mailing Address
First Line	:	332 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5406
Country	:	US
Telephone Number	:	718-367-2000
Fax Number	:	718-367-2003

Provider Business Practice Location Address
First Line	:	332 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5406
Country	:	US
Telephone Number	:	718-367-2000
Fax Number	:	718-367-2003

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JOSEPH WILSCHANSKI
Credential	:
Telephone Number	:	718-367-2000

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

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Directions to “CHOSEN RX INC ” Practice Location

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