Organization
SANTA ISABEL PHARMACY INC
Active
Other names
santa isabel pharmacy inc
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA LEON (PRESIDENT)
(212) 567-1444
Entity
Organization
Contact information
Practice address
145 SHERMAN AVE, NEW YORK, NY 10034-4604
(212) 567-1444
(212) 567-1448
Mailing address
145 SHERMAN AVE, NEW YORK, NY 10034-4604
(212) 567-1444
(212) 567-1448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133339
PK
—
05
—
3591242
—
NY
Enumeration date
12/25/2011
Last updated
10/30/2014
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