Organization
161 ST PHARMA INC
Active
Other names
161 ST. PHARMACY & SURGICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
KRUNAL PANDYA (SUPERVISING PHARMACIST)
(718) 742-3400
Entity
Organization
Contact information
Practice address
275 E 161ST ST, BRONX, NY 10451-3504
(718) 742-3400
(718) 742-3416
Mailing address
275 E 161ST ST, BRONX, NY 10451-3504
(718) 742-3400
(718) 742-3416
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176946
PK
—
Enumeration date
08/14/2017
Last updated
10/19/2020
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