Provider Demographics
NPI:1669366670
Name:PERSONALIZED PRESCRIPTIONS INC.
Entity type:Organization
Organization Name:PERSONALIZED PRESCRIPTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-940-8880
Mailing Address - Street 1:60 E INDUSTRY CT STE 1B
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-4714
Mailing Address - Country:US
Mailing Address - Phone:631-940-8880
Mailing Address - Fax:631-940-8770
Practice Address - Street 1:60 E INDUSTRY CT STE 1B
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-4714
Practice Address - Country:US
Practice Address - Phone:631-940-8880
Practice Address - Fax:631-940-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy