Organization
SOUTHERN BOULEVARD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHSAN NADEEM (PRESIDENT)
(646) 877-1190
Entity
Organization
Contact information
Practice address
1767 SOUTHERN BLVD, BRONX, NY 10460-4801
(718) 975-0988
(718) 975-0989
Mailing address
1767 SOUTHERN BLVD, BRONX, NY 10460-4801
(718) 975-0988
(718) 975-0989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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