Organization
ISLA DRUG STORES INC
Active
Other names
Isla Drug Stores
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CANALS (VP)
(212) 427-7123
Entity
Organization
Contact information
Practice address
1994 3RD AVE, NEW YORK, NY 10029-3644
(212) 427-7123
(212) 828-9359
Mailing address
1994 3RD AVE, NEW YORK, NY 10029-3644
(212) 427-7123
(212) 828-9359
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
013251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00564172
—
NY
01
—
2067749
PK
—
Enumeration date
07/30/2006
Last updated
05/20/2014
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