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Organization
LA ALTAGRACIA PHARMACY INC
Active
Organization
LA ALTAGRACIA PHARMACY INC
Active
Other names
una pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NASREEN SHAUKAT RIZVI (SUPERVISING PHARMACIST)
(212) 795-5004
Entity
Organization
Contact information
Practice address
1544 SAINT NICHOLAS AVE # A, NEW YORK, NY 10040-4506
(212) 795-5005
(201) 567-6744
Mailing address
1544 SAINT NICHOLAS AVE # A, NEW YORK, NY 10040-4506
(212) 795-5005
(201) 567-6744
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770003
—
NY
Enumeration date
02/06/2007
Last updated
06/22/2015
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