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Organization
TEE VAL PHARMACY
Active
Organization
TEE VAL PHARMACY
Active
Other names
GOODRICH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK CAMMARATA (PRES)
(212) 877-3090
Entity
Organization
Contact information
Practice address
104 W 70TH ST, NEW YORK, NY 10023-4454
(212) 877-3090
(212) 877-3153
Mailing address
104 W 70TH ST, NEW YORK, NY 10023-4454
(212) 877-3090
(212) 877-3153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3323336
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/13/2007
Last updated
11/05/2009
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