# PILGRIM PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PILGRIM PHARMACY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710683123
- **Legal business name:** PILGRIM PHARMACY INC
- **Authorized official:** MICHAEL VITO COSCIA (OWNER)
- **Authorized official phone:** (718) 823-1085

## Contact information

- **Practice address:** 2941 WESTCHESTER AVE, BRONX, NY 10461-4534
- **Practice address phone:** (718) 823-1085
- **Practice address fax:** (718) 828-7491
- **Mailing address:** 2941 WESTCHESTER AVE, BRONX, NY 10461-4534
- **Mailing address phone:** (718) 823-1085
- **Mailing address fax:** (718) 828-7491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 02/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00265756 | — | NY |
