Organization
SPNC INC
Active
Other names
ELMHURST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ BAROT (PRESIDENT)
(718) 565-8667
Entity
Organization
Contact information
Practice address
75 23 BROADWAY, ELMHURST, NY 11373-5612
(718) 565-8667
(718) 565-6041
Mailing address
75 23 BROADWAY, ELMHURST, NY 11373-5612
(718) 565-8667
(718) 565-6041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5802170
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/18/2010
Last updated
04/06/2011
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