Organization
BUENA VISTA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C RABENOU PHARMACIST (SUPERVISING PHARMACIST)
(212) 369-4018
Entity
Organization
Contact information
Practice address
2022 THIRD AVE, NEW YORK CITY, NY 10029-2855
(212) 369-4018
(212) 831-8851
Mailing address
2022 THIRD AVE, NEW YORK CITY, NY 10029-2855
(212) 369-4018
(212) 831-8851
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
012457
NY
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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