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Organization
JEWISH HOME LIFECARE, MANHATTAN
Active
Organization
JEWISH HOME LIFECARE, MANHATTAN
Active
Other names
Jewish Home Lifecare, Manhattan (Pharmacy)
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HOFMAN MS, RPH (SENIOR DIRECTOR OF PHARMACY)
(718) 410-1289
Entity
Organization
Contact information
Practice address
120 W 106TH ST, NEW YORK, NY 10025-3923
(212) 870-4972
(212) 870-4982
Mailing address
120 W 106TH ST, NEW YORK, NY 10025-3923
(212) 870-4972
(212) 870-4982
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
011111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01551248
—
NY
01
—
2062857
PK
—
Enumeration date
09/30/2006
Last updated
06/22/2016
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