Organization
HARLEM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKHIL PATEL (PATNER)
(212) 831-0200
Entity
Organization
Contact information
Practice address
17 WEST 125TH STREET, HARLEM PHARMACY INC, NEW YORK, NY 10027-4513
(212) 831-0200
(212) 831-0230
Mailing address
17 WEST 125TH STREET, HARLEM PHARMACY INC, NEW YORK, NY 10027-4513
(212) 831-0200
(212) 831-0230
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4956760001
MEDICARE PROVIDER NUMBER
NY
Enumeration date
12/12/2006
Last updated
10/22/2010
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