Organization
RICHMOND VALLEY PHARMACY INC
Active
Other names
Richmond Valley Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ISLAM MOHAMED (PRESIDENT)
(718) 967-9607
Entity
Organization
Contact information
Practice address
4888 ARTHUR KILL RD, STATEN ISLAND, NY 10309-2633
(718) 967-9607
(718) 967-9620
Mailing address
4888 ARTHUR KILL RD, STATEN ISLAND, NY 10309-2633
(718) 967-9607
(718) 967-9620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032248
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03818077
—
NY
01
—
2142860
PK
—
Enumeration date
11/02/2013
Last updated
06/19/2021
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