# 666 DRUG INC

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

## Provider details

- **NPI number:** 1821063504
- **Authorized official:** MR. JAMES ANTHONY DETURA (R.PH.)
- **Authorized official phone:** (718) 292-1856

## Contact information

- **Practice address:** 666 COURTLANDT AVE, BRONX, NY 10451-5018
- **Practice address phone:** (718) 292-1856
- **Practice address fax:** (718) 665-2123
- **Mailing address:** 666 COURTLANDT AVE, BRONX, NY 10451-5018
- **Mailing address phone:** (718) 292-1856
- **Mailing address fax:** (718) 665-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 017367 | NY | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01129033 | — | NY |