Organization
DYNASTY DRUG AND TRADING INC
Active
Other names
POLYPHARM DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY CHU (SUPERVISING PHARMACIST)
(212) 226-1415
Entity
Organization
Contact information
Practice address
208 MOTT ST, NEW YORK, NY 10012-4102
(212) 226-1415
(212) 226-1701
Mailing address
208 MOTT ST, NEW YORK, NY 10012-4102
(212) 226-1415
(212) 226-1701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00919200
—
NY
01
—
3385425
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
12/28/2010
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