Organization
NATES PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS NATENZON RPH (PRESIDENT)
(212) 995-9400
Entity
Organization
Contact information
Practice address
100 JERICHO TPKE, FLORAL PARK, NY 11001-2003
(212) 995-9400
(212) 995-9404
Mailing address
100 JERICHO TPKE, FLORAL PARK, NY 11001-2003
(212) 995-9400
(212) 995-9404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
031489
NY
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03563513
—
NY
Enumeration date
01/03/2013
Last updated
04/11/2024
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