Organization
BRONXDALE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE E HENRY RPH (CORPORATE OFFICER)
(718) 542-0440
Entity
Organization
Contact information
Practice address
1706 WATSON AVENUE, BRONX, NY 10472-5408
(718) 542-0440
(718) 378-1693
Mailing address
1706 WATSON AVENUE, BRONX, NY 10472-5408
(718) 542-0440
(718) 378-1693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01020731
—
NY
01
—
1134299548
NPI
NY
01
—
3389992
NCPDP
—
Enumeration date
11/09/2006
Last updated
02/28/2008
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