Organization
E.JEROME PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANAIYALAL PATEL (PRES)
(718) 364-2248
Entity
Organization
Contact information
Practice address
1 E 183RD ST, BRONX, NY 10453-1242
(718) 364-2248
(718) 329-3466
Mailing address
1 E 183RD ST, BRONX, NY 10453-1242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675489
—
NY
01
—
3372567
OTHER ID NUMBER
—
Enumeration date
10/26/2005
Last updated
09/13/2007
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