Organization
ELDER PHARMACY LLC
Active
Other names
Leroy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV SHETH RPH (OWNER, PIC)
(718) 842-2777
Entity
Organization
Contact information
Practice address
1527 WESTCHESTER AVE, BRONX, NY 10472-2908
(718) 842-2777
(718) 842-0077
Mailing address
1527 WESTCHESTER AVE, BRONX, NY 10472-2908
(718) 842-2777
(718) 842-0077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703859
—
NY
01
—
2063345
PK
—
Enumeration date
06/13/2006
Last updated
04/22/2016
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