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NPI Code Detail

MEDICARE: GOLDEN RX INC

MEDICARE: GOLDEN 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
13336C0003XCommunity/Retail Pharmacy032867NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12147023OTHERPK

General Provider Information

NPI Number : 1477967156
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN RX INC
Provider Business Mailing Address
First Line : 8612 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7533
Country : US
Telephone Number : 718-803-3888
Fax Number : 718-803-3887
Provider Business Practice Location Address
First Line : 8612 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7533
Country : US
Telephone Number : 718-803-3888
Fax Number : 718-803-3887
Authorized Official
Title or Position : PRESIDENT
Name : FAROOQ KHALID
Credential :
Telephone Number : 201-928-5897
Provider Enumeration Date : 06/20/2014
Last Update Date : 07/24/2014

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Directions to “GOLDEN RX INC ” Practice Location

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