Organization
PROSPECT AVE. PHARMACY INC.
Active
Other names
LONGWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SYED A MUZAFFAR (SECRETARY)
(718) 328-3593
Entity
Organization
Contact information
Practice address
993 PROSPECT AVE, BRONX, NY 10459-2903
(718) 328-3593
(718) 328-3593
Mailing address
993 PROSPECT AVE, BRONX, NY 10459-2903
(718) 328-3593
(718) 328-3593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
024632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02012077
—
NY
01
—
024632
NY PHARMACY LIC#
NY
Enumeration date
02/22/2007
Last updated
03/04/2013
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