Organization
MIRRA PHARMACY CORP
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH E MIRRA (PRESIDENT)
(914) 949-7000
Entity
Organization
Contact information
Practice address
82 E POST RD, WHITE PLAINS, NY 10601-5007
(914) 949-7000
(914) 949-3259
Mailing address
82 E POST RD, WHITE PLAINS, NY 10601-5007
(914) 949-7000
(914) 949-3259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597671
—
NY
01
—
2060148
PK
—
Enumeration date
10/20/2006
Last updated
10/23/2023
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