Healthcare Provider Details
I. General information
NPI: 1093397663
Provider Name (Legal Business Name): WORKERS HEALTH RX. INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2021
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 DUPONT ST STE 112
PLAINVIEW NY
11803-1606
US
IV. Provider business mailing address
1 DUPONT ST STE 112
PLAINVIEW NY
11803-1606
US
V. Phone/Fax
- Phone: 855-777-8299
- Fax: 516-464-2520
- Phone: 516-626-1384
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MARC
ALAN
WIENER
Title or Position: CEO/PRESIDENT
Credential: R.PH
Phone: 516-464-2532