Organization
ADD HEALTH PHARMACY INC
Active
Other names
Addhealth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NIMOH GYIMAH (SUPERVISING PHARMACIST)
(770) 589-3507
Entity
Organization
Contact information
Practice address
2482 GRAND CONCOURSE, BRONX, NY 10458-5201
(718) 483-8144
(718) 574-9654
Mailing address
2482 GRAND CONCOURSE, BRONX, NY 10458-5201
(718) 483-8144
(718) 574-9654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8346930001
MEDICARE
NY
Enumeration date
03/18/2024
Last updated
06/06/2025
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