# 145TH ST PHARMACY INC.

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

## Provider details

- **NPI number:** 1154792125
- **Authorized official:** SAGNIA BALBUENA (PRESIDENT)
- **Authorized official phone:** (917) 664-2880

## Contact information

- **Practice address:** 300 W 145TH ST, NEW YORK, NY 10039-3142
- **Practice address phone:** (212) 281-3480
- **Mailing address:** 300 W 145TH ST, NEW YORK, NY 10039-3142
- **Mailing address phone:** (212) 281-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2015
- **Last updated:** 10/15/2015