# JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jewish Home Lifecare -Bronx (pharmacy)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144325002
- **Authorized official:** RENEE HOFMAN MS, RPH (SENIOR DIRECTOR, PHARMACY)
- **Authorized official phone:** (718) 410-1289

## Contact information

- **Practice address:** C/O PHARMACY, BRONX, NY 10468-4066
- **Practice address phone:** (718) 410-1289
- **Practice address fax:** (718) 410-1850
- **Mailing address:** 100 W KINGSBRIDGE RD, FINANCE DEPT, BRONX, NY 10468-3961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 013945 | NY | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 04/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01724730 | — | NY |
| 01 | — | 2063426 | PK | — |