Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA ZACHARIAH PHARMD. (PHARMACY MANAGER)
(914) 645-9548
Entity
Organization
Contact information
Practice address
601 N BROADWAY, WHITE PLAINS, NY 10603-3219
(914) 328-4925
Mailing address
65 FAIRVIEW CT, NANUET, NY 10954-3230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
053689
NY
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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