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Organization

ST LUKES ROOSEVELT HOSPITAL CENTER

Active
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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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