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Organization

BOWERY PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK C WU R.PH. (SUPERVISING PHARMACIST)
(212) 219-0449
Entity
Organization

Contact information

Practice address
95 BOWERY, NEW YORK, NY 10002-4901
(212) 219-0449
(212) 219-0580
Mailing address
95 BOWERY, NEW YORK, NY 10002-4901
(212) 219-0449
(212) 219-0580

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018560
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00886686
NY
Enumeration date
03/02/2007
Last updated
04/24/2008
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