904 Prospect Pharmacy Inc.

NPI 1043307242 - Pharmacy - 3336C0003X

NPI Details
NPI 1043307242
Enumeration Date 10/07/2006
Last Updated 06/13/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name YARISA YARISA
Position SECRETARY
Phone (718) 991-6700
Fax (718) 874-1378
Practice Location
904 PROSPECT AVE
BRONX NY, 10459-3929, US
Phone (718) 991-6700
Fax (718) 874-1378
Business Location
PO BOX 740054
BRONX NY, 10474-0001, US
Phone (718) 991-6700
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, 904 Prospect Pharmacy Inc. NPI is 1043307242, taxonomy code is 3336C0003X 904 Prospect Pharmacy Inc. physically located at 904 Prospect Ave, Bronx NY, 10459-3929. NPI Number 1033115704 has the healthcare provider type.

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1043307242 NPI number is provided on an as is basis without warranty of any kind. 1043307242 is maintained by the National Plan & Provider Enumeration System. The contents of 904 Prospect Pharmacy Inc. are for informational purposes only.