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Organization
ST GEORGE PHARMACY INC
Active
Organization
ST GEORGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR S. MOHAMED PHARMD (PRESIDENT)
(718) 447-0333
Entity
Organization
Contact information
Practice address
99 STUYVESANT PL, STATEN ISLAND, NY 10301-1917
(718) 447-0333
Mailing address
99 STUYVESANT PL, STATEN ISLAND, NY 10301-1917
(718) 447-0333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566301
—
NY
Enumeration date
03/21/2007
Last updated
04/04/2023
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