Organization
596 MORRIS AVENUE PHARMACY INC
Active
Other names
Morrissania Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMINA HASSAN (PRESIDENT)
(516) 523-9200
Entity
Organization
Contact information
Practice address
596 MORRIS AVE, BRONX, NY 10451-4744
(718) 401-8800
(718) 401-8802
Mailing address
596 MORRIS AVE, BRONX, NY 10451-4744
(718) 401-8800
(718) 401-8802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710120704
—
NY
01
—
2133699
PK
—
Enumeration date
04/07/2009
Last updated
03/15/2017
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