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Organization
UPTOWN CARE PHARMACY LLC
Active
Organization
UPTOWN CARE PHARMACY LLC
Active
Other names
Uptown Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM ILYAICH (PHARMACIST)
(212) 221-8355
Entity
Organization
Contact information
Practice address
2254 2ND AVE, NEW YORK, NY 10029-2268
(212) 221-8355
(917) 675-7703
Mailing address
2254 2ND AVE, NEW YORK, NY 10029-2268
(212) 221-8355
(917) 675-7703
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04552232
—
NY
01
—
2160647
PK
—
Enumeration date
06/13/2016
Last updated
04/17/2017
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