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Organization
WELL GREEN PHARMACY INC
Active
Organization
WELL GREEN PHARMACY INC
Active
Other names
Well Green Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MONACHAN MATHAI (PRESIDENT)
(212) 491-7700
Entity
Organization
Contact information
Practice address
1969 AMSTERDAM AVE, NEW YORK, NY 10032-5041
(212) 491-7700
(212) 491-7770
Mailing address
1969 AMSTERDAM AVE, NEW YORK, NY 10032-5041
(212) 491-7700
(212) 491-7770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03742207
—
NY
01
—
2142137
PK
—
Enumeration date
09/09/2013
Last updated
06/17/2016
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