NPI 1003278656
Custom Rx Pharmacy LLC
Practice location
- Address
- 10203a Queens Blvd, Forest Hills, NY 11375
- Phone
- (718) 830-4500
- Fax
- (718) 830-4505
- Mailing address
- 10203a Queens Blvd, Forest Hills, NY 11375-2857
Authorised official
- Name
- Albert Pinkhasov
- Title
- Pharmacist
- Phone
- (718) 830-4500
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003278656
- Entity type
- Organization
- NPI issued
- 23 Mar 2016
- Record last updated
- 16 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.