Organization
POLSAK CORPORATION
Active
Other names
R AND S PIONEER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KUNAL SHAH (PHRMD)
(718) 538-8183
Entity
Organization
Contact information
Practice address
1018 OGDEN AVE, BRONX, NY 10452-5103
(718) 538-8183
(718) 538-2855
Mailing address
1018 OGDEN AVE, BRONX, NY 10452-5103
(718) 538-8183
(718) 538-2855
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058490
PK
—
05
—
2843841
—
NY
Enumeration date
08/10/2006
Last updated
12/06/2016
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