Organization
COLUMBUS & 103RD ST DRUG CORP
Active
Other names
Columbus Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUBBAB SEHAR (PRESIDENT)
(201) 899-8131
Entity
Organization
Contact information
Practice address
916 COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 663-7440
(212) 663-6074
Mailing address
916 COLUMBUS AVE, NEW YORK, NY 10025-4040
(212) 663-7440
(212) 663-6074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
013409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00269012
—
NY
01
—
3337791
NABP
NY
Enumeration date
01/02/2007
Last updated
10/25/2022
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