Organization
PALACE PHARMACY INC
Active
Other names
PALACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MAMDOUG SABRA RPH (PRESIDENT AND SUPV PHCIST)
(917) 459-2518
Entity
Organization
Contact information
Practice address
543 MALCOLM X BLVD, NEW YORK, NY 10037-1806
(212) 283-2136
(212) 283-2463
Mailing address
543 MALCOLM X BLVD, NEW YORK, NY 10037-1806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027539
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3350814
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/19/2006
Last updated
09/11/2025
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