# BRADHURST SPECIALTY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Atrium Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740465814
- **Authorized official:** MR. JAMES MELANCON (VICE PRESIDENT)
- **Authorized official phone:** (917) 449-6939

## Contact information

- **Practice address:** 19 BRADHURST AVE, SUITE L1, HAWTHORNE, NY 10532-2140
- **Practice address phone:** (914) 345-0070
- **Practice address fax:** (914) 345-0211
- **Mailing address:** 10050 CROSSTOWN CIR, SUITE 300, EDEN PRAIRIE, MN 55344-3348
- **Mailing address phone:** (952) 979-3680
- **Mailing address fax:** (952) 352-6698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 028582 | NY | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 12/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0184781 | — | NJ |
| 05 | — | 02968394 | — | NY |
| 05 | — | 1740465814 | — | CT |