Organization
MILE SQUARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEPORE (PRESIDENT SUPERVISING PHARMACIST)
(914) 965-1878
Entity
Organization
Contact information
Practice address
855 MIDLAND AVE, YONKERS, NY 10704-1024
(914) 965-1878
(914) 963-4022
Mailing address
855 MIDLAND AVE, YONKERS, NY 10704-1024
(914) 965-1878
(914) 963-4022
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
013593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570021
—
NY
01
—
013593
STATE LICENSE
NY
Enumeration date
01/16/2007
Last updated
03/07/2023
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