# DRUG SHOPPE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043965031
- **Authorized official:** ANIEDI NSE ETUK RPH (PRESIDENT)
- **Authorized official phone:** (212) 222-3652

## Contact information

- **Practice address:** 2074 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-3375
- **Practice address phone:** (212) 222-3652
- **Mailing address:** 2074 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2022
- **Last updated:** 03/16/2022