# 475 PHARMACY CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** McLean Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306957725
- **Authorized official:** MR. PETER W IP REG PHARMACIST (SUPERVISING PHARMACIST)
- **Authorized official phone:** (914) 963-0888

## Contact information

- **Practice address:** 642 MCLEAN AVE, YONKERS, NY 10705
- **Practice address phone:** (914) 963-0888
- **Practice address fax:** (914) 963-3879
- **Mailing address:** 642 MCLEAN AVE, YONKERS, NY 10705
- **Mailing address phone:** (914) 963-0888
- **Mailing address fax:** (914) 963-3879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 16924 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00558205 | — | NY |