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Organization
ALLERTON PARK PHARMACY INC
Active
Organization
ALLERTON PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE MALIN RPH (PRES)
(718) 881-0555
Entity
Organization
Contact information
Practice address
645 ALLERTON AVE, BRONX, NY 10467-7403
(718) 881-0555
(718) 881-8697
Mailing address
645 ALLERTON AVE, BRONX, NY 10467-7403
(718) 881-0555
(718) 881-8697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
018137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00824924
—
NY
Enumeration date
10/24/2005
Last updated
03/18/2011
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