# MONTEFIORE COMMUNITY PHARMACY

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

## Provider details

- **NPI number:** 1558726182
- **Authorized official:** STEVEN TUCKMAN BPHARM (MANAGER)
- **Authorized official phone:** (718) 920-5194

## Contact information

- **Practice address:** 111 E 210TH ST, BRONX, NY 10467-2401
- **Practice address phone:** (718) 920-5194
- **Practice address fax:** (718) 652-0733
- **Mailing address:** 111 E 210TH ST, BRONX, NY 10467-2401
- **Mailing address phone:** (718) 920-5194
- **Mailing address fax:** (718) 652-0733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0002X | Clinic Pharmacy | TBD | NY | — |
| 3336C0003X | Community/Retail Pharmacy | TBD | NY | — |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015