Organization
JUSTIN PHARMACY INC
Active
Other names
ST. ANTHONY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BINU BABY (PRES)
(212) 923-6111
Entity
Organization
Contact information
Practice address
3860 BROADWAY, NEW YORK, NY 10032-1545
(212) 923-6111
(212) 923-2882
Mailing address
3860 BROADWAY, NEW YORK, NY 10032-1545
(212) 923-6111
(212) 923-2882
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02510589
—
NY
01
—
2063266
PK
—
Enumeration date
08/30/2006
Last updated
12/18/2016
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