Organization
MELLAU PHARMACY INC
Active
Other names
HILLTOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WILLIAM RYDER PHARMACIST (PRESIDENT / OWNER)
(212) 923-7176
Entity
Organization
Contact information
Practice address
593 FORT WASHINGTON AVE, NEW YORK, NY 10033-1908
(212) 568-5511
(855) 281-1364
Mailing address
593 FORT WASHINGTON AVE, NEW YORK, NY 10033-1908
(212) 923-7176
(212) 795-8146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022914
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01636548
—
NY
Enumeration date
02/01/2007
Last updated
06/06/2024
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