# ASENCIO PHARMACY INC

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

## Provider details

- **NPI number:** 1700872264
- **Authorized official:** MR. DAVID ASENCIO RPH (SUPERVISING PHARMACIST)
- **Authorized official phone:** (718) 299-2416

## Contact information

- **Practice address:** 154 E 174TH ST, BRONX, NY 10457-6904
- **Practice address phone:** (718) 299-2416
- **Practice address fax:** (718) 299-5176
- **Mailing address:** 154 E 174TH ST, BRONX, NY 10457-6904
- **Mailing address phone:** (718) 299-2416
- **Mailing address fax:** (718) 299-5176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 020822 | NY | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 02/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01215127 | — | NY |