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119th St Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in New York, NY. Organization (NPI-2).

NPI number1235935719
StatusActive
Last updated in NPPESJul 15, 2025

Details

NPI
1235935719
Entity type
Organization (NPI-2)
Legal business name
119th St Pharmacy LLC
Organization subpart
No
Enumeration date
Feb 24, 2025
Certification date
Jul 15, 2025
Last updated
Jul 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

181 E 119th St
New York, NY 10035-4069

Phone 929-348-0044 · Fax 347-330-7662

Mailing address

181 E 119th St # 10035
New York, NY 10035-4069

Authorized official

Mirsaid Shadiev
President
9293480044

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