Organization
GOODMAN PLAZA PHARMACY INC
Active
Other names
Goodman Plaza Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NATWAR GEVARIA (PRESIDENT)
(347) 590-9102
Entity
Organization
Contact information
Practice address
3250 3RD AVE, BRONX, NY 10456-6743
(347) 590-9102
(347) 590-9103
Mailing address
3250 3RD AVE, BRONX, NY 10456-6743
(347) 590-9102
(347) 590-9103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155637
PK
—
Enumeration date
08/12/2015
Last updated
07/27/2016
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