Organization
EAST STAR PHARMACY INC.
Active
Other names
TAINO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAVAN ALCHANI (PHARMACY MANAGER)
(212) 289-2000
Entity
Organization
Contact information
Practice address
2403 2ND AVE, NEW YORK, NY 10035-2102
(212) 289-2000
(212) 289-5992
Mailing address
2403 2ND AVE, NEW YORK, NY 10035-2102
(212) 289-2000
(212) 289-5992
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03861052
—
NY
Enumeration date
03/13/2014
Last updated
10/24/2017
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