Organization
COMMUNITY RECETA INC
Active
Other names
COMMUNITY RECETA INC
Organization subpart
No
Provider details
NPI number
Authorized official
AKHTAR HUSSAIN (OWNER)
(718) 299-3044
Entity
Organization
Contact information
Practice address
1713 UNIVERSITY AVE, BRONX, NY 10453-6961
(718) 299-3044
(718) 299-4809
Mailing address
1713 UNIVERSITY AVE, BRONX, NY 10453-6961
(718) 299-3044
(718) 299-4809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415956
—
NY
01
—
2061105
PK
—
Enumeration date
11/25/2005
Last updated
09/30/2014
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