Healthcare Provider Details
I. General information
NPI: 1700132016
Provider Name (Legal Business Name): RSC DRUG CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2012
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5904 KISSENA BLVD
FLUSHING NY
11355-5546
US
IV. Provider business mailing address
5904 KISSENA BLVD
FLUSHING NY
11355-5546
US
V. Phone/Fax
- Phone: 718-463-8018
- Fax:
- Phone:
- Fax:
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: MRS.
RABINA
CHAUDHARY
Title or Position: PRESIDENT
Credential:
Phone: 646-463-2226