Organization
NEO PHARMACY INC
Active
Other names
neo pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH PATEL (PRESIDENT)
(703) 618-3932
Entity
Organization
Contact information
Practice address
785 E 163RD ST, BRONX, NY 10456-7208
(718) 991-7901
(718) 991-7821
Mailing address
785 E 163RD ST, BRONX, NY 10456-7208
(718) 991-7901
(718) 991-7821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5802144
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/15/2011
Last updated
07/29/2011
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