Organization
LA ALTAGRACIA PHARMACY INC
Active
Other names
una pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NASREEN SHAUKAT RIZVI (SUPERVISING PHARMACIST)
(212) 795-5004
Entity
Organization
Contact information
Practice address
1544 SAINT NICHOLAS AVE # A, NEW YORK, NY 10040-4506
(212) 795-5005
(201) 567-6744
Mailing address
1544 SAINT NICHOLAS AVE # A, NEW YORK, NY 10040-4506
(212) 795-5005
(201) 567-6744
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770003
—
NY
Enumeration date
02/06/2007
Last updated
06/22/2015
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