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Organization
RUSA PHARMACY CORP
Active
Organization
RUSA PHARMACY CORP
Active
Other names
METRO Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAGNIA MARIA BALBUENA (PRESIDENT)
(917) 664-8531
Entity
Organization
Contact information
Practice address
342 E 149TH ST, BRONX, NY 10451-5635
(917) 664-8531
Mailing address
342 E 149TH ST, BRONX, NY 10451-5635
(917) 664-8531
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236555
—
NY
Enumeration date
04/12/2010
Last updated
07/01/2015
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