Organization
311 PHARMACY CORP
Active
Other names
HEIDI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD OWENS R.PH. (SUPERVISING PHARMACIST)
(212) 740-3737
Entity
Organization
Contact information
Practice address
522 W 181ST ST, NEW YORK, NY 10033-5101
(212) 740-3737
(212) 740-4044
Mailing address
522 W 181ST ST, NEW YORK, NY 10033-5101
(212) 740-3737
(212) 740-4044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551884
—
NY
01
—
3337361
NCPDP
NY
Enumeration date
02/14/2007
Last updated
03/07/2023
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