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Organization

BLONDELL RX NY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARI BASIN (PIC)
(347) 691-3494
Entity
Organization

Contact information

Practice address
1642 EASTCHESTER RD, BRONX, NY 10461-2316
(347) 691-3494
(347) 691-3496
Mailing address
1047 SURF AVE FL 2, BROOKLYN, NY 11224-2810
(917) 830-2522
(917) 722-0851

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
06/03/2020
Last updated
10/04/2023
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