Organization
EP 2020 STORE NO 1 LLC
Active
Other names
ECOGREEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABOUBACAR SYLLA (MANAGING MEMBER)
(646) 559-1280
Entity
Organization
Contact information
Practice address
256 W 116TH ST, NEW YORK, NY 10026-3570
(646) 559-1280
(646) 524-5867
Mailing address
256 W 116TH ST, NEW YORK, NY 10026-3570
(646) 559-1280
(646) 524-5867
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
09/20/2022
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