Organization
MAIL MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA VISAYA (SP)
(212) 279-3232
Entity
Organization
Contact information
Practice address
11 PENN PLZ, NEW YORK, NY 10001-2006
(212) 279-3232
(212) 624-9862
Mailing address
11 PENN PLZ, NEW YORK, NY 10001-2006
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3350840
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/11/2006
Last updated
08/22/2020
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