Organization
J W EMBASSY CORP
Active
Other names
J W EMBASSY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
SYED ALAM (RPH)
(212) 368-8100
Entity
Organization
Contact information
Practice address
200 W 145TH ST, NEW YORK, NY 10039-4121
(212) 368-8100
(212) 234-1512
Mailing address
200 W 145TH ST, NEW YORK, NY 10039-4121
(212) 368-8100
(212) 234-1512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
016953
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01654719
—
NY
01
—
3301063
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/19/2007
Last updated
01/29/2010
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