Organization
DREISER MALL PHARMACY LLC
Active
Other names
Green Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAR AHMED NADEEM (MEMBER)
(478) 998-1993
Entity
Organization
Contact information
Practice address
133 DREISER LOOP, BRONX, NY 10475-2704
(347) 899-8199
Mailing address
133 DREISER LOOP, BRONX, NY 10475-2704
(347) 899-8199
(347) 899-8199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
01/09/2023
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