Organization
1699 FANCY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RADIF MUHAMMAD RASHID PHARMD (SUPERVISING PHARMACIST)
(212) 529-4532
Entity
Organization
Contact information
Practice address
132 ALLEN ST, NEW YORK, NY 10002-3008
(212) 529-4532
(212) 529-5217
Mailing address
132 ALLEN ST, NEW YORK, NY 10002-3008
(212) 529-4532
(212) 529-5217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01115113
—
NY
Enumeration date
12/17/2006
Last updated
05/08/2020
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