Healthcare Provider Details

I. General information

NPI: 1568268985
Provider Name (Legal Business Name): RAFIEH RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 LEE AVE
BROOKLYN NY
11211-1874
US

IV. Provider business mailing address

70 LEE AVE
BROOKLYN NY
11211-1874
US

V. Phone/Fax

Practice location:
  • Phone: 718-387-0021
  • Fax:
Mailing address:
  • Phone: 718-387-0021
  • Fax:

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 Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JONAS FALKOWITZ
Title or Position: OWNER
Credential:
Phone: 718-387-0021