Organization · NPI-2
420 2nd Ave Drug Corp
Pharmacy, Community/Retail Pharmacy · New York, NY
NPI number1316016264
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1316016264
- Entity type
- Organization (NPI-2)
- Legal business name
- 420 2nd Ave Drug Corp
- Organization subpart
- No
- Enumeration date
- Nov 7, 2006
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 022924 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Halpern Pharmacy (Doing Business As)
Practice location
331 E 23rd StNew York, NY 10010-4763
Phone 212-683-0148 · Fax 212-779-0151
Mailing address
331 E 23rd StNew York, NY 10010-4763
Phone 212-683-0148 · Fax 212-779-0151
Authorized official
Yashvantkumar Manubhai Desai
Owner
2126830148
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