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Organization

BRONX PENN PHARMACY CORP

Active
Other names
PENN PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ARKADIY ABRAMOV (PRESIDENT)
(718) 484-4280
Entity
Organization

Contact information

Practice address
1666 BOSTON RD, BRONX, NY 10460-4980
(718) 484-4280
(718) 484-4281
Mailing address
1666 BOSTON RD, BRONX, NY 10460-4980
(718) 484-4280
(718) 484-4281

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
036002
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2174316
PK
Enumeration date
12/04/2017
Last updated
04/26/2018
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