Organization
PALMVILLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADESHINA SHON BAMIGBADE (PHARMACIST/OWNER)
(718) 547-7600
Entity
Organization
Contact information
Practice address
799 ALLERTON AVE, BRONX, NY 10467
(718) 547-7600
Mailing address
799 ALLERTON AVE, BRONX, NY 10467-8909
(718) 547-7600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
030932
NY
3336C0003X
Community/Retail Pharmacy
Primary
030932
NY
Other
Enumeration date
09/07/2011
Last updated
07/04/2018
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