Organization
FUSION APOTHECARY LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX SAPIR RPH (PHARMACY MANAGER)
19174727895
Entity
Organization
Contact information
Practice address
1158 2ND AVE, NEW YORK, NY 10065-8504
(191) 747-2789
Mailing address
1158 2ND AVE, NEW YORK, NY 10065-8504
(191) 747-2789
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034764
NY
3336S0011X
Specialty Pharmacy
034764
NY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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