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Organization

FORDHAM PLAZA PHARMACY INC

Active
Other names
PLAZA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
SHARAD DESAI RPH (PRESIDENT)
(718) 365-8148
Entity
Organization

Contact information

Practice address
2515 WEBSTER AVE, BRONX, NY 10458-5583
(718) 365-8148
(718) 365-1179
Mailing address
2515 WEBSTER AVE, BRONX, NY 10458-5583
(718) 365-8148
(718) 365-1179

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
021315
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01335120
NY
01
2064177
PK
Enumeration date
07/30/2006
Last updated
02/23/2017
About Stedi
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