Organization · NPI-2
103 Pharmacy INC
Pharmacy · New York, NY
NPI number1902268162
StatusActive
Last updated in NPPESJul 7, 2016
Details
- NPI
- 1902268162
- Entity type
- Organization (NPI-2)
- Legal business name
- 103 Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2016
- Last updated
- Jul 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 034593 | NY | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- 103 Pharmacy INC (Doing Business As)
Practice location
2002 2nd AveStore 1
New York, NY 10029-5445
Phone 212-410-4410 · Fax 212-410-4414
Mailing address
2002 2nd AveStore 1
New York, NY 10029-5445
Phone 212-410-4410 · Fax 212-410-4414
Authorized official
Nasir Mughal
Owner
2124104410
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