Organization
SOUTHBRIDGE PHARMACY INC
Active
Other names
southbridge pharmacy inc
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLETTA FAZYLOVA (PRESIDENT/PHARMACIST/AUTHORIZED OFF)
(212) 786-5840
Entity
Organization
Contact information
Practice address
80 BEEKMAN ST, NEW YORK, NY 10038-1891
(212) 786-5840
(212) 786-5841
Mailing address
80 BEEKMAN ST, NEW YORK, NY 10038-1891
(212) 786-5840
(212) 786-5841
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/26/2024
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