Healthcare Provider Details

I. General information

NPI: 1871656405
Provider Name (Legal Business Name): RX ZONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WELCHER AVE
PEEKSKILL NY
10566-5306
US

IV. Provider business mailing address

12 WELCHER AVE
PEEKSKILL NY
10566-5306
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-2006
  • Fax: 914-739-8209
Mailing address:
  • Phone: 914-737-2006
  • Fax: 914-739-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number025492
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. RALPH CEDENO
Title or Position: OPS MGR
Credential:
Phone: 914-737-2006