Organization
PSK RX INC
Active
Other names
Third Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADHIOLI SWAMINATHAN (SUPERVISING PHARMACIST/MANAGER)
(718) 665-1410
Entity
Organization
Contact information
Practice address
2700 3RD AVE, BRONX, NY 10454
(718) 665-1410
(718) 665-5994
Mailing address
2700 3RD AVE, BRONX, NY 10454-1103
(718) 665-1410
(718) 665-5994
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02630679
—
NY
01
—
027162
STATE LICENSE
NY
01
—
3322649
NABP NUMBER
NY
Enumeration date
11/07/2006
Last updated
03/07/2023
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