Organization
DRUG MART II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK L BARVALIA (MEMBER)
(212) 569-4400
Entity
Organization
Contact information
Practice address
4873 BROADWAY, NEW YORK, NY 10034-3134
(212) 569-4400
(212) 569-5400
Mailing address
4873 BROADWAY, NEW YORK, NY 10034-3134
(212) 569-4400
(212) 569-5400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03912663
—
NY
01
—
32678
OFFICE OF PROFESSIONS
NY
Enumeration date
03/29/2014
Last updated
10/24/2014
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