Organization
31ST & 3RD PHARMACY INC
Active
Other names
PARAMOUNT SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CARL CODY COLQUITT (CHIEF FINANCIAL OFFICER)
(469) 850-6390
Entity
Organization
Contact information
Practice address
1860 WALT WHITMAN RD STE 700, MELVILLE, NY 11747-3098
(516) 822-6300
(516) 822-6333
Mailing address
5700 GRANITE PARKWAY, SUITE 425, PLANO, TX 75024
(469) 592-2011
(516) 822-6333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
027550
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02700609
—
NY
01
—
2063847
PK
—
Enumeration date
07/30/2006
Last updated
11/03/2023
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