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Organization
SYPRAM CORP
Active
Organization
SYPRAM CORP
Active
Other names
AKSHAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIVY DIXIL (SPVSY OF PHCY AND OWNER)
(718) 220-2718
Entity
Organization
Contact information
Practice address
2200 GRAND CONCOURSE, BRONX, NY 10457-2029
(718) 220-2748
(718) 220-2749
Mailing address
2200 GRAND CONCOURSE, BRONX, NY 10457-2029
(718) 220-2748
(718) 220-2749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02571259
—
NY
01
—
3338957
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/21/2006
Last updated
02/25/2013
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