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Organization
BRADHURST SPECIALTY PHARMACY INC
Active
Organization
BRADHURST SPECIALTY PHARMACY INC
Active
Other names
The Atrium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MELANCON (VICE PRESIDENT)
(917) 449-6939
Entity
Organization
Contact information
Practice address
19 BRADHURST AVE, SUITE L1, HAWTHORNE, NY 10532-2140
(914) 345-0070
(914) 345-0211
Mailing address
10050 CROSSTOWN CIR, SUITE 300, EDEN PRAIRIE, MN 55344-3348
(952) 979-3680
(952) 352-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
028582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184781
—
NJ
05
—
02968394
—
NY
05
—
1740465814
—
CT
Enumeration date
01/08/2008
Last updated
12/03/2010
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