# REVIVE PHARMACY INC

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

## Provider details

- **NPI number:** 1740003052
- **Authorized official:** ZIAD GAMAL ABDELNABI (OWNER)
- **Authorized official phone:** (973) 449-0091

## Contact information

- **Practice address:** 917 OGDEN AVE, BRONX, NY 10452-5547
- **Practice address phone:** (718) 618-5190
- **Mailing address:** 917 OGDEN AVE, BRONX, NY 10452-5547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 04/27/2026
