# LA ALTAGRACIA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** una pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316086952
- **Authorized official:** NASREEN SHAUKAT RIZVI (SUPERVISING PHARMACIST)
- **Authorized official phone:** (212) 795-5004

## Contact information

- **Practice address:** 1544 SAINT NICHOLAS AVE \# A, NEW YORK, NY 10040-4506
- **Practice address phone:** (212) 795-5005
- **Practice address fax:** (201) 567-6744
- **Mailing address:** 1544 SAINT NICHOLAS AVE \# A, NEW YORK, NY 10040-4506
- **Mailing address phone:** (212) 795-5005
- **Mailing address fax:** (201) 567-6744

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 06/22/2015