Organization
RCK PHARMACY LLC
Active
Other names
san judas tadeo pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMABHAI PATEL (OWNER/AO)
(267) 467-2605
Entity
Organization
Contact information
Practice address
520 W 207TH ST, NEW YORK, NY 10034-2646
(212) 567-1350
(212) 567-1350
Mailing address
520 W 207TH ST, NEW YORK, NY 10034-2646
(212) 567-1350
(212) 567-1350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295910001
—
NY
01
—
2175474
PK
—
Enumeration date
12/26/2006
Last updated
05/20/2019
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