Organization
KINGSBRIDGE PHARMACY CORP
Active
Other names
KINGSBRIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FENIL SHAH (PRESIDENT)
(732) 429-4392
Entity
Organization
Contact information
Practice address
145 W KINGSBRIDGE RD, BRONX, NY 10468-3914
(718) 708-8665
(718) 708-8667
Mailing address
145 W KINGSBRIDGE RD, BRONX, NY 10468-3914
(718) 708-8665
(718) 708-8667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04357219
—
NY
01
—
2154758
PK
—
Enumeration date
10/06/2015
Last updated
04/28/2016
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