Organization
145TH ST PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGNIA BALBUENA (PRESIDENT)
(917) 664-2880
Entity
Organization
Contact information
Practice address
300 W 145TH ST, NEW YORK, NY 10039-3142
(212) 281-3480
Mailing address
300 W 145TH ST, NEW YORK, NY 10039-3142
(212) 281-3480
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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