Organization · NPI-2
145th St Pharmacy INC.
Pharmacy · New York, NY
NPI number1154792125
StatusActive
Last updated in NPPESOct 15, 2015
Details
- NPI
- 1154792125
- Entity type
- Organization (NPI-2)
- Legal business name
- 145th St Pharmacy INC.
- Organization subpart
- No
- Enumeration date
- Oct 15, 2015
- Last updated
- Oct 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
300 W 145th StNew York, NY 10039-3142
Phone 212-281-3480
Mailing address
300 W 145th StNew York, NY 10039-3142
Phone 212-281-3480
Authorized official
Sagnia Balbuena
President
9176642880
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