West 142nd Street Pharmacy Corp

NPI 1053698951 - Pharmacy - 3336C0003X

NPI Details
NPI 1053698951
Enumeration Date 11/07/2011
Last Updated 05/09/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LYUBA LYUBA
Position MANAGER
Phone (212) 234-8400
Fax (212) 234-7700
Practice Location
3471 BROADWAY
NEW YORK NY, 10031-5628, US
Phone (212) 234-8400
Fax (212) 234-7700
Business Location
3471 BROADWAY
NEW YORK NY, 10031-5628, US
Phone (212) 234-8400
Fax (212) 234-7700
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 030934
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According to our database, West 142nd Street Pharmacy Corp NPI is 1053698951, taxonomy code is 3336C0003X and license number is 030934, license state is located at New York. West 142nd Street Pharmacy Corp physically located at 3471 Broadway, New York NY, 10031-5628. NPI Number 1033115704 has the healthcare provider type.

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1053698951 NPI number is provided on an as is basis without warranty of any kind. 1053698951 is maintained by the National Plan & Provider Enumeration System. The contents of West 142nd Street Pharmacy Corp are for informational purposes only.