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NPI Code Detail

MEDICARE: ELMHURST RX INC

MEDICARE: ELMHURST RX INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1174478093
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELMHURST RX INC
Provider Business Mailing Address
First Line : 557 E 169TH ST
Second Line :
City : BRONX
State : NY
Zip : 10456-2625
Country : US
Telephone Number : 347-918-8700
Fax Number : 347-918-8701
Provider Business Practice Location Address
First Line : 557 E 169TH ST
Second Line :
City : BRONX
State : NY
Zip : 10456-2625
Country : US
Telephone Number : 347-918-8700
Fax Number : 347-918-8701
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MR. IMRAN S KAZMI
Credential : RPH
Telephone Number : 917-449-0086
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ELMHURST RX INC ” Practice Location

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