Provident Pharma Llc

NPI 1215323597 - Pharmacy - 3336C0003X

NPI Details
NPI 1215323597
Enumeration Date 04/13/2015
Last Updated 12/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name HARSH HARSH
Position OWNER
Phone (718) 292-2500
Fax (718) 292-2600
Practice Location
675 MORRIS AVE
BRONX NY, 10451-4783, US
Phone (718) 292-2500
Fax (718) 292-2600
Business Location
675 MORRIS AVE
BRONX NY, 10451-4783, US
Phone (718) 292-2500
Fax (718) 292-2600
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 030468
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According to our database, Provident Pharma Llc NPI is 1215323597, taxonomy code is 3336C0003X and license number is 030468, license state is located at New York. Provident Pharma Llc physically located at 675 Morris Ave, Bronx NY, 10451-4783. NPI Number 1033115704 has the healthcare provider type.

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1215323597 NPI number is provided on an as is basis without warranty of any kind. 1215323597 is maintained by the National Plan & Provider Enumeration System. The contents of Provident Pharma Llc are for informational purposes only.