MEDICARE: NEIGHBORHOOD RX CORP

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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1184967457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD RX CORP

Provider Business Mailing Address
First Line	:	10023 QUEENS BLVD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2452
Country	:	US
Telephone Number	:	718-997-6700
Fax Number	:	718-997-6701

Provider Business Practice Location Address
First Line	:	10023 QUEENS BLVD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2452
Country	:	US
Telephone Number	:	718-997-6700
Fax Number	:	718-997-6701

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. OREN YAKUBOV
Credential	:
Telephone Number	:	347-634-6022

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	07/23/2013

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Directions to “NEIGHBORHOOD RX CORP ” Practice Location

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