Organization
MEMORIAL SLOAN KETTERING CANCER CENTER
Active
Parent organization
MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES
Other names
MEMORIAL HOSP OPD AT 68TH ST, MSK OPD Pharmacy at 68 Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES
Authorized official
SUSAN MURILLO RPH (PHARMACY MANAGER)
(212) 639-2206
Entity
Organization
Contact information
Practice address
1275 YORK AVE RM C164, NEW YORK, NY 10065-6007
(646) 888-0730
Mailing address
1275 YORK AVE RM H-313, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
003945
NY
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243467
—
NY
01
—
3356347
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/09/2006
Last updated
10/16/2024
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