Organization
JEWISH HOME LIFECARE, HARRY & JEANETTE WEINBERG CAMPUS, BRON
Active
Other names
Jewish Home Lifecare -Bronx (pharmacy)
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HOFMAN MS, RPH (SENIOR DIRECTOR, PHARMACY)
(718) 410-1289
Entity
Organization
Contact information
Practice address
C/O PHARMACY, BRONX, NY 10468-4066
(718) 410-1289
(718) 410-1850
Mailing address
100 W KINGSBRIDGE RD, FINANCE DEPT, BRONX, NY 10468-3961
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
013945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01724730
—
NY
01
—
2063426
PK
—
Enumeration date
09/14/2006
Last updated
04/06/2016
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