Organization
MAPLE AVE PHARMACY INC
Active
Other names
Monroe Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISREAL MEILECH WEISSMAN (MANAGER)
(845) 774-1464
Entity
Organization
Contact information
Practice address
48 BAKERTOWN ROAD, SUITE 101, MONROE, NY 10950
(845) 774-1464
(845) 774-1454
Mailing address
48 BAKERTOWN ROAD, SUITE 101, MONROE, NY 10950
(845) 774-1464
(845) 774-1454
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027013
NY
3336C0003X
Community/Retail Pharmacy
Primary
027013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638668
—
NY
Enumeration date
05/30/2005
Last updated
12/05/2018
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