Organization · NPI-2

139 Center Pharmacy, LLC

Pharmacy, Community/Retail Pharmacy · New York, NY

NPI number1609278308
StatusActive
Last updated in NPPESSep 24, 2014

Details

NPI
1609278308
Entity type
Organization (NPI-2)
Legal business name
139 Center Pharmacy, LLC
Organization subpart
No
Enumeration date
Sep 24, 2014
Last updated
Sep 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy033068NYYes

Practice location

139 Centre St
Store 105
New York, NY 10013-4552

Phone 646-838-6388 · Fax 718-513-2047

Mailing address

139 Centre St
Store 105
New York, NY 10013-4552

Phone 646-838-6388 · Fax 718-513-2047

Authorized official

Tristan Liu
Corporate Officer
6468014876

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