# CONCORD PHARMACY LLC

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

## Provider details

- **NPI number:** 1710433925
- **Authorized official:** MR. LI H HOM (PHARMACY MANAGER)
- **Authorized official phone:** (929) 329-0421

## Contact information

- **Practice address:** 301 E KINGSBRIDGE RD, BRONX, NY 10458-4443
- **Practice address phone:** (929) 329-0421
- **Practice address fax:** (347) 542-3034
- **Mailing address:** 301 E KINGSBRIDGE RD, BRONX, NY 10458-4443
- **Mailing address phone:** (929) 329-0421
- **Mailing address fax:** (347) 542-3034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034768 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 11/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162428 | PK | — |