Organization
WAKEFIELD DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOGI GEORGE RPH (SP PHARMACIST)
(201) 341-5756
Entity
Organization
Contact information
Practice address
4334A WHITE PLAINS RD, BRONX, NY 10466-3098
(718) 547-0040
(718) 547-0046
Mailing address
4334A WHITE PLAINS RD, BRONX, NY 10466-3098
(718) 547-0040
(718) 547-0046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031633
STATE BOARD OF PHARMACY, NEW YORK
NY
Enumeration date
02/08/2013
Last updated
12/01/2014
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