Organization
CONCORDIA PHARMA INC
Active
Other names
CONCORDIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVESH GAJERA (OWNER)
(718) 328-2833
Entity
Organization
Contact information
Practice address
898 E TREMONT AVE, BRONX, NY 10460-4300
(718) 328-2833
(718) 328-2844
Mailing address
898 E TREMONT AVE, BRONX, NY 10460-4300
(718) 328-2833
(718) 328-2844
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034889
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162108
PK
—
Enumeration date
08/21/2012
Last updated
12/01/2016
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