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Organization

BURNSIDE PHARMACY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALI TEHFE (OFFICER)
(347) 229-2145
Entity
Organization

Contact information

Practice address
52 W BURNSIDE AVE, BRONX, NY 10453-4018
(347) 820-7989
(347) 820-7990
Mailing address
1959 WESTCHESTER AVE, BRONX, NY 10462-4505
(718) 824-3745

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
07/29/2010
Last updated
12/02/2010
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