Organization
103 PHARMACY INC
Active
Other names
103 PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR MUGHAL (OWNER)
(212) 410-4410
Entity
Organization
Contact information
Practice address
2002 2ND AVE, STORE 1, NEW YORK, NY 10029-5445
(212) 410-4410
(212) 410-4414
Mailing address
2002 2ND AVE, STORE 1, NEW YORK, NY 10029-5445
(212) 410-4410
(212) 410-4414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034593
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160834
PK
—
Enumeration date
03/25/2016
Last updated
07/07/2016
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