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Organization

BIG MART PHARMACY INC

Active
Other names
BIG MART PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
RAHEEL PERVEZ (PRESIDENT)
(718) 292-3116
Entity
Organization

Contact information

Practice address
2740 3RD AVE, BRONX, NY 10455-4036
(718) 292-3116
(718) 292-3142
Mailing address
2740 3RD AVE, BRONX, NY 10455-4036
(718) 292-3116
(718) 292-3142

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027306
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3352414
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/23/2006
Last updated
04/25/2012
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