1699 Fancy Pharmacy Inc.

NPI 1124181854 - Pharmacy - 3336C0003X

NPI Details
NPI 1124181854
Enumeration Date 12/17/2006
Last Updated 03/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MUHAMMAD MUHAMMAD
Position SUPERVISING PHARMACIST
Phone (212) 529-4532
Fax
Practice Location
131 ESSEX ST
NEW YORK NY, 10002-2370, US
Phone (212) 529-4532
Fax
Business Location
131 ESSEX ST
NEW YORK NY, 10002-2370, US
Phone (212) 529-4532
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 019989
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According to our database, 1699 Fancy Pharmacy Inc. NPI is 1124181854, taxonomy code is 3336C0003X and license number is 019989, license state is located at New York. 1699 Fancy Pharmacy Inc. physically located at 131 Essex St, New York NY, 10002-2370. NPI Number 1033115704 has the healthcare provider type.

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1124181854 NPI number is provided on an as is basis without warranty of any kind. 1124181854 is maintained by the National Plan & Provider Enumeration System. The contents of 1699 Fancy Pharmacy Inc. are for informational purposes only.