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Organization
WEST 142ND STREET PHARMACY CORP
Active
Organization
WEST 142ND STREET PHARMACY CORP
Active
Other names
West 142nd Street Pharmacy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
NERIK KIKIROV (PRESIDENT)
(212) 234-8400
Entity
Organization
Contact information
Practice address
3471 BROADWAY, NEW YORK, NY 10031-5628
(212) 234-8400
(212) 234-7700
Mailing address
3471 BROADWAY, NEW YORK, NY 10031-5628
(212) 234-8400
(212) 234-7700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030934
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132630
PK
—
Enumeration date
11/07/2011
Last updated
08/27/2026
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