Organization
S-A DRUG CORP
Active
Other names
LEPTIS
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIN AWAD RPH (PIC)
(718) 378-0003
Entity
Organization
Contact information
Practice address
1612 WESTCHESTER AVE, BRONX, NY 10472-2915
(718) 378-0003
(718) 378-7192
Mailing address
1612 WESTCHESTER AVE, BRONX, NY 10472-2915
(718) 378-0003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
018290
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23122421
—
NY
01
—
3380994
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
06/20/2008
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