63rd Drive Pharmacy Corp

NPI 1023116050 - Pharmacy - 333600000X

NPI Details
NPI 1023116050
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SIMON SIMON
Position PRESIDENT
Phone (718) 459-3370
Fax (718) 459-2074
Practice Location
9305 63RD DR
REGO PARK NY, 11374-2924, US
Phone (718) 459-3370
Fax (718) 459-2074
Business Location
9305 63RD DR
REGO PARK NY, 11374-2924, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State New York
License Number 024647
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According to our database, 63rd Drive Pharmacy Corp NPI is 1023116050, taxonomy code is 333600000X and license number is 024647, license state is located at New York. 63rd Drive Pharmacy Corp physically located at 9305 63rd Dr, Rego Park NY, 11374-2924. NPI Number 1033115704 has the healthcare provider type.

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1023116050 NPI number is provided on an as is basis without warranty of any kind. 1023116050 is maintained by the National Plan & Provider Enumeration System. The contents of 63rd Drive Pharmacy Corp are for informational purposes only.