Organization
139 CENTER PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN LIU (CORPORATE OFFICER)
(646) 801-4876
Entity
Organization
Contact information
Practice address
139 CENTRE ST, STORE 105, NEW YORK, NY 10013-4552
(646) 838-6388
(718) 513-2047
Mailing address
139 CENTRE ST, STORE 105, NEW YORK, NY 10013-4552
(646) 838-6388
(718) 513-2047
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033068
NY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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