Provider Demographics
NPI:1811754450
Name:NEW LOTS RX PLUS CORP
Entity type:Organization
Organization Name:NEW LOTS RX PLUS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDINOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-273-4202
Mailing Address - Street 1:2918 HOYT AVE S
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1738
Mailing Address - Country:US
Mailing Address - Phone:718-406-9013
Mailing Address - Fax:
Practice Address - Street 1:2918 HOYT AVE S
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1738
Practice Address - Country:US
Practice Address - Phone:718-406-9013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy