Organization
OLIVE TREE PHARMACY
Active
Other names
Olive Tree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR HAMTINI (OWNER)
(646) 368-9960
Entity
Organization
Contact information
Practice address
106 RIDGE ST, NEW YORK, NY 10002-2554
(646) 368-9960
(646) 368-9861
Mailing address
106 RIDGE ST, NEW YORK, NY 10002-2554
(646) 368-9960
(646) 368-9861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123821
PK
—
05
—
3228526
—
NY
Enumeration date
12/01/2009
Last updated
03/12/2014
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