Healthcare Provider Details
I. General information
NPI: 1689545675
Provider Name (Legal Business Name): MAIN RX INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7128A MAIN ST
FLUSHING NY
11367-2023
US
IV. Provider business mailing address
7128A MAIN ST
FLUSHING NY
11367-2023
US
V. Phone/Fax
- Phone: 347-233-2277
- Fax: 347-233-3630
- Phone: 347-233-2277
- Fax: 347-233-3630
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARIK
MALAKOV
Title or Position: PRESIDENT
Credential:
Phone: 347-233-2277