Organization
82 COLUMBUS CORP
Active
Other names
Park West Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WOLK RPH (PHARMACIST)
(212) 721-3883
Entity
Organization
Contact information
Practice address
461 COLUMBUS AVE, NEW YORK, NY 10024-5107
(212) 721-3883
(212) 721-5660
Mailing address
461 COLUMBUS AVE, NEW YORK, NY 10024-5107
(212) 721-3883
(212) 721-5660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3395111
NCPDP #
—
Enumeration date
12/19/2006
Last updated
05/09/2023
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