Organization
SHREE GANESH PHARMACY
Active
Other names
SPAN AM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH PATEL RPH (PHARM/CLERK)
(718) 401-6778
Entity
Organization
Contact information
Practice address
2810 3RD AVE, BRONX, NY 10455
(718) 401-6778
(718) 993-1497
Mailing address
2810 3RD AVE, BRONX, NY 10455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
026777
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544214
—
NY
01
—
3325049
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/10/2006
Last updated
09/11/2025
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