Healthcare Provider Details

I. General information

NPI: 1962249748
Provider Name (Legal Business Name): REGION RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ROUTE 208
MONROE NY
10950-4649
US

IV. Provider business mailing address

1200 STATE ROUTE 208
MONROE NY
10950-4648
US

V. Phone/Fax

Practice location:
  • Phone: 845-782-2260
  • Fax: 845-783-9295
Mailing address:
  • Phone: 845-782-2260
  • Fax: 845-783-9295

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 Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YOSEPH ZOLDAN
Title or Position: CEO
Credential:
Phone: 845-782-2260