Organization
CVS/CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN DESETA BS PHARMACY (PHARMACY MANAGER)
(212) 255-2592
Entity
Organization
Contact information
Practice address
272 8TH AVE, NEW YORK, NY 10011-1619
(212) 255-2592
(212) 463-9668
Mailing address
272 8TH AVE, NEW YORK, NY 10011-1619
(212) 255-2592
(212) 463-9668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044657
NY
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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