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Organization

BIG MART PHARMACY INC

Active
Other names
Big Mart Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER PERVEZ (PRESIDENT)
(718) 092-3116
Entity
Organization

Contact information

Practice address
2740 3RD AVENUE, BRONX, NY 10455
(718) 292-3116
(718) 292-3142
Mailing address
2740 3RD AVENUE, BRONX, NY 10455
(718) 292-3116
(718) 292-3142

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3112
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02785817
NY
Enumeration date
01/23/2007
Last updated
09/11/2007
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