Organization
EAST TREMONT RX INC
Active
Other names
East Tremont Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD PATEL (PRESIDENT)
(718) 861-0382
Entity
Organization
Contact information
Practice address
1065 E TREMONT AVE, BRONX, NY 10460-2306
(718) 861-0382
(718) 861-5575
Mailing address
1065 E TREMONT AVE, BRONX, NY 10460-2306
(718) 861-0382
(718) 861-5575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034753
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04471330
—
NY
01
—
2160838
PK
—
Enumeration date
06/08/2016
Last updated
06/18/2024
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