=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578639399
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | R&R PHARMACY,INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 323 MAMARONECK AVE
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-777-0357
-----------------------------------------------------
Fax | 914-777-0358
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 323 MAMARONECK AVE
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-777-0357
-----------------------------------------------------
Fax | 914-777-0358
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MGR.
-----------------------------------------------------
Name | RAMON RAMA
-----------------------------------------------------
Credential | OWNER
-----------------------------------------------------
Telephone | 914-777-0357
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 024548
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------