Organization
ROSA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO ADOLFO ARIAS SR. (PRESIDENT)
(347) 992-6771
Entity
Organization
Contact information
Practice address
1603 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3303
(212) 923-2412
(212) 923-0410
Mailing address
1603 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3303
(212) 923-2412
(212) 923-0410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025087
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02173417
—
NY
01
—
3339947
NCPDP
NY
Enumeration date
12/13/2005
Last updated
08/22/2020
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