Organization
BEN'S PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FARD (MEMBER)
(212) 795-6791
Entity
Organization
Contact information
Practice address
4734 BROADWAY, NEW YORK, NY 10040-1103
(212) 304-4712
Mailing address
436 FORT WASHINGTON AVE, # 3E, NEW YORK, NY 10033-3507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027928
NY
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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