Organization
PELHAM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM NASSER PHARMD (VICE PRESIDENT)
(347) 419-6737
Entity
Organization
Contact information
Practice address
2171 WHITE PLAINS RD, BRONX, NY 10462-1405
(917) 708-9700
(917) 708-9702
Mailing address
2171 WHITE PLAINS RD, BRONX, NY 10462-1405
(917) 708-9700
(917) 708-9702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
032726
NY
3336C0003X
Community/Retail Pharmacy
032726
NY
3336L0003X
Long Term Care Pharmacy
032726
NY
3336S0011X
Specialty Pharmacy
032726
NY
Other
Enumeration date
04/19/2014
Last updated
11/29/2014
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