Organization
CEDARS PHARMACY
Active
Other names
CEDARS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEL MAUSSA (PHARMACIST)
(718) 271-9429
Entity
Organization
Contact information
Practice address
9519 57TH AVE, ELMHURST, NY 11373-4616
(718) 271-9429
(718) 271-9438
Mailing address
9519 57TH AVE, ELMHURST, NY 11373-4616
(718) 271-9429
(718) 271-9438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01394678
—
NY
01
—
3330393
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/23/2006
Last updated
09/17/2010
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