Organization
BEN-TAL PHARMACY SERVICES, INC.
Active
Other names
MMP Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GINA HUNT (SENIOR VP CORPORATE REVENUE)
(954) 653-1040
Entity
Organization
Contact information
Practice address
1515 BLONDELL AVE, BRONX, NY 10461-2601
(718) 239-9808
(718) 239-3523
Mailing address
1515 BLONDELL AVE, BRONX, NY 10461-2601
(718) 239-9808
(718) 239-3523
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
025192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02190196
—
NY
Enumeration date
07/08/2006
Last updated
08/22/2020
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