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Organization
EAST DRIVE PHARMACY, INC.
Active
Organization
EAST DRIVE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA MARK LIPPELL RPH (PRESIDENT)
(212) 228-0400
Entity
Organization
Contact information
Practice address
93 AVENUE D, NEW YORK, NY 10009-5338
(212) 228-0400
(212) 533-0236
Mailing address
93 AVENUE D, NEW YORK, NY 10009-5338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265687
—
NY
01
—
3339581
NABP
NY
Enumeration date
01/18/2007
Last updated
08/22/2020
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