Organization
173 PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A MATEO (OWNER)
(646) 692-4646
Entity
Organization
Contact information
Practice address
572 W 173RD ST, NEW YORK, NY 10032-1635
(646) 692-4646
(646) 692-4645
Mailing address
572 W 173RD ST, NEW YORK, NY 10032-1635
(646) 692-4646
(646) 692-4645
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
10/27/2025
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