Organization
DRUGDEX PHARMACY
Active
Other names
Danny's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KHANIMOV PHARMD (PHARMACIST)
(212) 365-0366
Entity
Organization
Contact information
Practice address
1632 BRUCKNER BLVD, BRONX, NY 10473-4553
(212) 365-0366
Mailing address
1632 BRUCKNER BLVD, BRONX, NY 10473-4553
(718) 328-6777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332285
—
NY
Enumeration date
03/03/2011
Last updated
07/20/2011
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