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Organization

158TH STREET NEIGHBORHOOD PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH TEMPELBERG (OFFICER)
(718) 585-6188
Entity
Organization

Contact information

Practice address
3103 3RD AVE, BRONX, NY 10451-4688
(718) 585-6188
(718) 585-6653
Mailing address
3103 3RD AVE, BRONX, NY 10451-4688
(718) 585-6188
(718) 585-6653

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026148
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02519551
NY
Enumeration date
11/13/2006
Last updated
08/22/2020
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