Organization
119TH ST PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRSAID SHADIEV (PRESIDENT)
(929) 348-0044
Entity
Organization
Contact information
Practice address
181 E 119TH ST, NEW YORK, NY 10035-4069
(929) 348-0044
(347) 330-7662
Mailing address
181 E 119TH ST # 10035, NEW YORK, NY 10035-4069
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
07/15/2025
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