# PELHAM PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518387331
- **Authorized official:** HOUSSAM NASSER PHARMD (VICE PRESIDENT)
- **Authorized official phone:** (347) 419-6737

## Contact information

- **Practice address:** 2171 WHITE PLAINS RD, BRONX, NY 10462-1405
- **Practice address phone:** (917) 708-9700
- **Practice address fax:** (917) 708-9702
- **Mailing address:** 2171 WHITE PLAINS RD, BRONX, NY 10462-1405
- **Mailing address phone:** (917) 708-9700
- **Mailing address fax:** (917) 708-9702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 032726 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | 032726 | NY | — |
| 3336L0003X | Long Term Care Pharmacy | 032726 | NY | — |
| 3336S0011X | Specialty Pharmacy | 032726 | NY | — |

## Other

- **Enumeration date:** 04/19/2014
- **Last updated:** 11/29/2014