# 82ND CORNER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Invictus Pharmacy, Park West Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720687023
- **Authorized official:** DR. MEYER DAVIDOFF PHARMD, RPH (SENIOR DIRECTOR)
- **Authorized official phone:** (212) 380-6866

## Contact information

- **Practice address:** 461 COLUMBUS AVE, NEW YORK, NY 10024-5107
- **Practice address phone:** (212) 721-3883
- **Practice address fax:** (212) 721-5660
- **Mailing address:** 49 E PASSAIC ST, ROCHELLE PARK, NJ 07662-3305
- **Mailing address phone:** (201) 880-7000
- **Mailing address fax:** (201) 880-7094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 10/19/2020
