MEDICARE: ACRX, LLC

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	033823	NY

General Provider Information

NPI Number	:	1316326119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACRX, LLC

Provider Business Mailing Address
First Line	:	973 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4108
Country	:	US
Telephone Number	:	914-237-8821
Fax Number	:

Provider Business Practice Location Address
First Line	:	973 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4108
Country	:	US
Telephone Number	:	914-237-8821
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	MR. ANTHONY C MANGIARACINA
Credential	:	R.PH.
Telephone Number	:	914-237-8821

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	11/10/2015

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