Organization
ROR MADISON PHARMACY INC
Active
Other names
ROR MADISON PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ABDURAKHMANOVA RPH (SUPERVISING PHARMACIST)
(212) 369-0700
Entity
Organization
Contact information
Practice address
1636 MADISON AVE, NEW YORK, NY 10029-3543
(212) 369-0700
(212) 369-0794
Mailing address
1636 MADISON AVE, NEW YORK, NY 10029-3543
(212) 369-0700
(212) 369-0794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027675
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067551
PK
—
05
—
2728747
—
NY
Enumeration date
07/25/2006
Last updated
04/02/2015
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