Organization
CITY ISLAND PHARMACY INC
Active
Other names
CITY ISLAND PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICCARELLI RPH (PRESIDENT)
(718) 885-3053
Entity
Organization
Contact information
Practice address
290 CITY ISLAND AVE, BRONX, NY 10464-1433
(718) 885-3053
(718) 885-2632
Mailing address
290 CITY ISLAND AVE, BRONX, NY 10464-1433
(718) 885-3053
(718) 885-2632
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01525933
—
NY
01
—
2063728
PK
—
Enumeration date
10/04/2005
Last updated
09/18/2013
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