Organization
SEDGWICK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MAZZAMUTO (PRESIDENT)
(718) 543-3116
Entity
Organization
Contact information
Practice address
3887 SEDGWICK AVE, BRONX, NY 10463-4432
(718) 543-3116
Mailing address
3887 SEDGWICK AVE, BRONX, NY 10463-4432
(718) 543-3116
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301799
—
NY
Enumeration date
12/13/2023
Last updated
12/13/2023
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