Organization
731 PHARMACY CORP
Active
Other names
IVAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN JOURDAIN (OWNER/SUP RPH)
(212) 222-4400
Entity
Organization
Contact information
Practice address
691 COLUMBUS AVE, NEW YORK, NY 10025-7002
(212) 222-4400
(212) 222-4428
Mailing address
691 COLUMBUS AVE, NEW YORK, NY 10025-7002
(212) 222-4400
(212) 222-4428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281254
—
NY
01
—
2067137
PK
—
Enumeration date
06/10/2006
Last updated
12/22/2016
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