# BURNSIDE PHARMACY CORP

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

## Provider details

- **NPI number:** 1265746416
- **Authorized official:** MR. ALI TEHFE (OFFICER)
- **Authorized official phone:** (347) 229-2145

## Contact information

- **Practice address:** 52 W BURNSIDE AVE, BRONX, NY 10453-4018
- **Practice address phone:** (347) 820-7989
- **Practice address fax:** (347) 820-7990
- **Mailing address:** 1959 WESTCHESTER AVE, BRONX, NY 10462-4505
- **Mailing address phone:** (718) 824-3745

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 12/02/2010