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Organization
CONCORD PHARMACY LLC
Active
Organization
CONCORD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LI H HOM (PHARMACY MANAGER)
(929) 329-0421
Entity
Organization
Contact information
Practice address
301 E KINGSBRIDGE RD, BRONX, NY 10458-4443
(929) 329-0421
(347) 542-3034
Mailing address
301 E KINGSBRIDGE RD, BRONX, NY 10458-4443
(929) 329-0421
(347) 542-3034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034768
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162428
PK
—
Enumeration date
08/28/2016
Last updated
11/22/2017
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