Organization
MONTEFIORE MEDICAL CENTER-MONTEFIORE PHARMACY
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Other names
Montefiore Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
MR. STEVEN TUCKMAN RPH (PHARMACY MANAGER)
(718) 920-4300
Entity
Organization
Contact information
Practice address
3444 KOSSUTH AVE, GROUND FLOOR, BRONX, NY 10467-2410
(718) 920-4300
(718) 652-0733
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5194
(718) 652-0733
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
000475
NY
3336C0003X
Community/Retail Pharmacy
Primary
000475
NY
3336I0012X
Institutional Pharmacy
000475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032128
PHARMACY LICENSE
NY
Enumeration date
02/28/2007
Last updated
07/26/2013
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