Organization
MARBLE HILL PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY J PAGHDAL RPH. (PRESIDENT)
(718) 562-5200
Entity
Organization
Contact information
Practice address
5243 BROADWAY, BRONX, NY 10463-7636
(718) 562-5200
(718) 562-5300
Mailing address
5243 BROADWAY, BRONX, NY 10463-7636
(718) 562-5200
(718) 562-5300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031975
PHARMACY REGISTRATION NUMBER
NY
05
—
03616020
—
NY
Enumeration date
05/22/2013
Last updated
01/27/2021
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