Organization
99 CENTS TOP GRADE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAIE CHOUDHURY (SUPERVISING PHARMACIST)
(718) 685-6042
Entity
Organization
Contact information
Practice address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2905
(718) 822-2944
Mailing address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2905
(718) 822-2924
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
033027
NY
3336C0003X
Community/Retail Pharmacy
Primary
033027
NY
3336S0011X
Specialty Pharmacy
033027
NY
Other
Enumeration date
11/04/2014
Last updated
02/23/2016
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