Organization
MAXWELL PHARMACY INC
Active
Other names
MAXWELL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELFATIH IBRAHIM (SECRETARY)
(212) 534-7700
Entity
Organization
Contact information
Practice address
234 E 106TH ST, NEW YORK, NY 10029-7604
(212) 534-7700
(212) 534-8353
Mailing address
234 E 106TH ST, NEW YORK, NY 10029-7604
(212) 534-7700
(212) 534-8353
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067738
PK
—
05
—
2779688
—
NY
Enumeration date
05/11/2006
Last updated
01/26/2015
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