Organization
SAINT TERESA'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILHOM ISMAILOV (OWNER)
(212) 304-4541
Entity
Organization
Contact information
Practice address
3849 10TH AVE, NEW YORK, NY 10034-1850
(212) 304-4541
(212) 380-1933
Mailing address
3849 10TH AVE, NEW YORK, NY 10034-1850
(212) 304-4541
(212) 380-1933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039522
PHARMACY LICENSE
NY
Enumeration date
05/25/2022
Last updated
05/15/2026
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