Organization
BOSTON ROAD PHARMACY CORP.
Active
Other names
Boston Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NILAY PATEL (OWNER)
(718) 515-4088
Entity
Organization
Contact information
Practice address
3444 BOSTON RD, BRONX, NY 10469-2512
(718) 515-4088
(718) 515-4833
Mailing address
3444 BOSTON RD, BRONX, NY 10469-2512
(718) 515-4088
(718) 515-4833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804340
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/03/2012
Last updated
02/03/2012
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