Organization
420 2ND AVE DRUG CORP
Active
Other names
Halpern Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YASHVANTKUMAR MANUBHAI DESAI (OWNER)
(212) 683-0148
Entity
Organization
Contact information
Practice address
331 E 23RD ST, NEW YORK, NY 10010-4763
(212) 683-0148
(212) 779-0151
Mailing address
331 E 23RD ST, NEW YORK, NY 10010-4763
(212) 683-0148
(212) 779-0151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640519
—
NY
01
—
2062779
PK
—
Enumeration date
11/07/2006
Last updated
09/07/2023
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