Organization
RV PHARMACY CORP
Active
Other names
La Fe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN HIDALGO (OWNER)
(917) 473-7810
Entity
Organization
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455-3267
(917) 473-7810
(917) 473-7811
Mailing address
754 E 151ST ST, BRONX, NY 10455-3267
(917) 473-7810
(917) 473-7811
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164068
PK
—
Enumeration date
08/17/2016
Last updated
09/21/2016
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