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Organization

OPTIMUM PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AYODEJI ADEGBOYEJO (MANAGER)
(347) 577-1170
Entity
Organization

Contact information

Practice address
3324 THIRD AVE, BRONX, NY 10456-6749
(347) 577-1170
(347) 577-1171
Mailing address
3324 THIRD AVE, BRONX, NY 10456-6749
(347) 577-1170
(347) 577-1171

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03906278
NY
Enumeration date
07/16/2013
Last updated
02/10/2017
About Stedi
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  • EDI platform