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Organization
THEONIS PHARMACY INC
Active
Organization
THEONIS PHARMACY INC
Active
Other names
FIRST HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MITSOPOULOS (MGR)
(718) 220-7555
Entity
Organization
Contact information
Practice address
2465 GRAND CONCOURSE, BRONX, NY 10468-5443
(718) 220-7555
(718) 220-7552
Mailing address
2465 GRAND CONCOURSE, BRONX, NY 10468-5443
(718) 220-7555
(718) 220-7552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02700434
—
NY
01
—
3347021
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
08/08/2011
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