Healthcare Provider Details

I. General information

NPI: 1225848005
Provider Name (Legal Business Name): SWIFT RX PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 8TH AVE
BROOKLYN NY
11232-3705
US

IV. Provider business mailing address

4021 8TH AVE
BROOKLYN NY
11232-3705
US

V. Phone/Fax

Practice location:
  • Phone: 347-374-6260
  • Fax: 347-374-6259
Mailing address:
  • Phone: 347-374-6260
  • Fax: 347-374-6259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICKY SOU
Title or Position: SUPERVISING PHARMACIST
Credential:
Phone: 347-374-6260