Organization
PPC PHARMACY INC
Active
Other names
BOSTON ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH KIRIT PATEL (OWNER)
(718) 991-4000
Entity
Organization
Contact information
Practice address
1272 BOSTON RD, BRONX, NY 10456-3621
(718) 991-4000
(718) 991-4044
Mailing address
1272 BOSTON RD, BRONX, NY 10456-3621
(718) 991-4000
(718) 991-4044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027474
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664675
—
NY
01
—
3342273
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/25/2006
Last updated
09/11/2020
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