Organization
MANHATTAN RX LLC
Active
Other names
BOSTON ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEEN CHIGURUPATI (PHARMACY MANAGER)
(718) 733-4150
Entity
Organization
Contact information
Practice address
3456 BOSTON RD, BRONX, NY 10469-2512
(718) 733-4150
(718) 733-4151
Mailing address
3456 BOSTON ROAD, BRONX, NY 10469
(718) 733-4150
(718) 733-4151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03695916
—
NY
01
—
2142647
PK
—
Enumeration date
07/19/2013
Last updated
10/02/2020
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