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Organization

HILLSIDE PHARMACY INC

Active
Other names
NUTRACARE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ISSAAC GEORGE (PHARMACIST)
(718) 264-2222
Entity
Organization

Contact information

Practice address
22036 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2020
(718) 264-2222
(718) 264-2221
Mailing address
22036 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2020
(718) 264-2222
(718) 264-2221

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030828
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5803209
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/25/2011
Last updated
05/22/2012
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