Organization
MISHKINS PHARMA LLC
Active
Other names
MISHKINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAREEN ADUSUMELLI (SUPERVISING PHARMACIST / MANAGER)
(212) 926-2801
Entity
Organization
Contact information
Practice address
1714 AMSTERDAM AVE, NEW YORK, NY 10031-4602
(212) 926-2801
(212) 862-4715
Mailing address
1714 AMSTERDAM AVE, NEW YORK, NY 10031-4602
(212) 926-2801
(212) 862-4715
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04095061
—
NY
01
—
2148254
PK
—
Enumeration date
07/22/2014
Last updated
10/02/2020
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