Organization
RVK PHARMACY
Active
Other names
Santa Clara Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LIRIANO (PRESIDENT)
(914) 479-8579
Entity
Organization
Contact information
Practice address
170 DYCKMAN ST, NEW YORK, NY 10040-1004
(212) 567-2434
(212) 567-2436
Mailing address
170 DYCKMAN ST, NEW YORK, NY 10040-1004
(212) 567-2434
(212) 567-2436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029272
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3359850
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/27/2009
Last updated
04/20/2011
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