Organization
MEDASSURE LLC
Active
Other names
Medassure Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IDAN LEVI (PIC)
(518) 618-2220
Entity
Organization
Contact information
Practice address
2334 WASHINGTON AVE, BRONX, NY 10458-7714
(718) 316-6766
Mailing address
2334 WASHINGTON AVE, BRONX, NY 10458-7714
(718) 316-6766
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/11/2019
Last updated
05/20/2022
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