Organization
MOTT HAVEN RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAGRUTI PATEL (PRESIDENT)
(718) 292-9144
Entity
Organization
Contact information
Practice address
400 E 141ST ST, BRONX, NY 10454-2212
(718) 292-9144
(718) 292-9145
Mailing address
400 E 141ST ST, BRONX, NY 10454-2212
(718) 292-9144
(718) 292-9145
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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