Healthcare Provider Details

I. General information

NPI: 1023658135
Provider Name (Legal Business Name): ROSEHILL PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 01/30/2021
Certification Date: 01/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392B BEDFORD PARK BLVD
BRONX NY
10458-2415
US

IV. Provider business mailing address

392B BEDFORD PARK BLVD
BRONX NY
10458-2415
US

V. Phone/Fax

Practice location:
  • Phone: 718-684-8865
  • Fax:
Mailing address:
  • Phone: 718-684-8864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH BABAKHANOV
Title or Position: PRESIDENT
Credential:
Phone: 718-684-8864