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Organization
BIG MART PHARMACY INC
Active
Organization
BIG MART PHARMACY INC
Active
Other names
Big Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER PERVEZ (PRESIDENT)
(718) 092-3116
Entity
Organization
Contact information
Practice address
2740 3RD AVENUE, BRONX, NY 10455
(718) 292-3116
(718) 292-3142
Mailing address
2740 3RD AVENUE, BRONX, NY 10455
(718) 292-3116
(718) 292-3142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785817
—
NY
Enumeration date
01/23/2007
Last updated
09/11/2007
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