Organization
61 WEST KINGSBRIDGE PEOPLE'S DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS GARCIA (PRESIDENT)
(718) 543-2813
Entity
Organization
Contact information
Practice address
61 W KINGSBRIDGE RD, BRONX, NY 10468-7512
(718) 543-2813
(718) 543-2888
Mailing address
61 W KINGSBRIDGE RD, BRONX, NY 10468-7512
(718) 543-2813
(718) 543-2888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01165475
—
NY
01
—
3321938
NCPDP
—
Enumeration date
12/06/2006
Last updated
08/22/2020
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