Organization
ANDEL PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY PHILIP BREGMAN (CEO)
(347) 839-8219
Entity
Organization
Contact information
Practice address
219 N 27TH ST STE 9, BOISE, ID 83702-4745
(347) 839-8219
Mailing address
447 BROADWAY, 2ND FLOOR #950, NEW YORK, NY 10013
(347) 839-8219
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7371880
PHARMACY
ID
Enumeration date
10/09/2025
Last updated
10/09/2025
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