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Organization
YORGANIC PHARMACY INC
Active
Organization
YORGANIC PHARMACY INC
Active
Other names
88 STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BO KIM (PRESIDENT)
(212) 348-8900
Entity
Organization
Contact information
Practice address
1695 1ST AVE, NEW YORK, NY 10128-4804
(212) 348-8900
(212) 348-3868
Mailing address
1695 1ST AVE, NEW YORK, NY 10128-4804
(212) 348-8900
(212) 348-3868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145569
PK
—
Enumeration date
02/04/2014
Last updated
01/06/2016
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