Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Other names
West Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE FAHMIE (PHARMACY DIRECTOR)
(212) 604-1975
Entity
Organization
Contact information
Practice address
203 W 12TH ST, NEW YORK, NY 10011-7762
(212) 604-1970
(212) 604-1971
Mailing address
203 W 12TH ST, NEW YORK, NY 10011-7762
(212) 604-1970
(212) 604-1971
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
030198
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3332385
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/10/2007
Last updated
06/22/2010
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