Organization
DRUG SHOPPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIEDI NSE ETUK RPH (PRESIDENT)
(212) 222-3652
Entity
Organization
Contact information
Practice address
2074 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-3375
(212) 222-3652
Mailing address
2074 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-3375
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
03/16/2022
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