# 75 BURNSIDE DRUG AND SURGICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BURNSIDE PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194531020
- **Authorized official:** MR. VARGHESE ABRAHAM (VICE PRESIDENT/PHARMACIST)
- **Authorized official phone:** (718) 731-8505

## Contact information

- **Practice address:** 75 W BURNSIDE AVE, BRONX, NY 10453-4015
- **Practice address phone:** (718) 731-8505
- **Practice address fax:** (718) 731-8127
- **Mailing address:** 75 W BURNSIDE AVE, BRONX, NY 10453-4015
- **Mailing address phone:** (718) 731-8505
- **Mailing address fax:** (718) 731-8127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2024
- **Last updated:** 12/05/2024