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NPI Code Detail

MEDICARE: HENDRIX PHARMA CORP

MEDICARE: HENDRIX PHARMA 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1386316909
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRIX PHARMA CORP
Provider Business Mailing Address
First Line : 121 LAFAYETTE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 LAFAYETTE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1249
Country : US
Telephone Number : 925-421-0301
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALI ERFAN
Credential :
Telephone Number : 718-524-7099
Provider Enumeration Date : 10/01/2021
Last Update Date : 01/24/2023

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Directions to “HENDRIX PHARMA CORP ” Practice Location

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