# LOS PRIMOS PHAMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** los primos phamacy inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477375517
- **Authorized official:** ANGEL SANTOS (OWNER)
- **Authorized official phone:** (212) 389-1212

## Contact information

- **Practice address:** 1511 SAINT NICHOLAS AVE, NEW YORK, NY 10033-3134
- **Practice address phone:** (212) 389-1212
- **Practice address fax:** (212) 389-6010
- **Mailing address:** 1511 SAINT NICHOLAS AVE, NEW YORK, NY 10033-3134
- **Mailing address phone:** (212) 389-1212
- **Mailing address fax:** (212) 389-6010

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 05/15/2025