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Organization

CLOVE RX LLC

Active
Other names
SA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
OSAMA KHAN SWATI (PRESIDENT)
(201) 920-0633
Entity
Organization

Contact information

Practice address
2062 CLOVE RD, STATEN ISLAND, NY 10304-1650
(917) 830-1499
(917) 830-1488
Mailing address
2062 CLOVE RD, STATEN ISLAND, NY 10304-1650
(917) 830-1499
(917) 830-1488

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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