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Organization
75 BURNSIDE DRUG AND SURGICAL INC
Active
Organization
75 BURNSIDE DRUG AND SURGICAL INC
Active
Other names
BURNSIDE PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VARGHESE ABRAHAM (VICE PRESIDENT/PHARMACIST)
(718) 731-8505
Entity
Organization
Contact information
Practice address
75 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 731-8505
(718) 731-8127
Mailing address
75 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 731-8505
(718) 731-8127
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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