Organization
RANDALL PHARMACY INC
Active
Other names
RANDALL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
EJAZ AHMAD (PRESIDENT)
(718) 328-2100
Entity
Organization
Contact information
Practice address
1753 RANDALL AVE, BRONX, NY 10473-4251
(718) 328-2100
(718) 328-2101
Mailing address
1753 RANDALL AVE, BRONX, NY 10473-4251
(718) 328-2100
(718) 328-2101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04162718
—
NY
01
—
2148324
PK
—
Enumeration date
10/01/2014
Last updated
04/19/2017
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