158th Street Neighborhood Pharmacy, LLC
Durable Medical Equipment & Medical Supplies in Bronx, NY. Organization (NPI-2).
NPI number1215048152
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1215048152
- Entity type
- Organization (NPI-2)
- Legal business name
- 158th Street Neighborhood Pharmacy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 026148 | NY | Yes |
Practice location
3103 3rd AveBronx, NY 10451-4688
Phone 718-585-6188 · Fax 718-585-6653
Mailing address
3103 3rd AveBronx, NY 10451-4688
Phone 718-585-6188 · Fax 718-585-6653
Authorized official
Noam Avidar
Memeber
7185856188
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