Organization
MCLEAN AVE PHARMACY CORP
Active
Other names
MCLEAN AVE PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD SHAHID (PRESIDENT)
(914) 327-4888
Entity
Organization
Contact information
Practice address
211 MCLEAN AVE, YONKERS, NY 10705-4419
(914) 327-4888
(914) 327-4884
Mailing address
211 MCLEAN AVE, YONKERS, NY 10705-4419
(914) 327-4888
(914) 327-4884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155880
PK
—
05
—
8548A79Z
—
NY
Enumeration date
12/08/2015
Last updated
06/16/2016
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