Organization
SPRINGFIELD PHARMACY INC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH PATEL (PRESIDENT AND MAJORITY HOLDER)
(718) 464-4844
Entity
Organization
Contact information
Practice address
9037 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428-1352
(718) 464-4844
(718) 464-9835
Mailing address
90 37 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428-1352
(718) 464-4844
(718) 464-9835
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545679
—
NY
01
—
2059784
PK
—
Enumeration date
07/12/2006
Last updated
10/12/2016
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