Organization
MONTEFIORE COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TUCKMAN BPHARM (MANAGER)
(718) 920-5194
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5194
(718) 652-0733
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5194
(718) 652-0733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
TBD
NY
3336C0003X
Community/Retail Pharmacy
TBD
NY
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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