Organization
133RD STREET PHARMACY INC
Active
Other names
133RD ST PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BHARGAV PATEL RPH (SUP PHARMACIST)
(212) 491-4911
Entity
Organization
Contact information
Practice address
1473 AMSTERDAM AVE, NEW YORK, NY 10027-7472
(212) 491-4911
(212) 491-4916
Mailing address
1473 AMSTERDAM AVE, NEW YORK, NY 10027-7472
(212) 491-4911
(212) 491-4916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02723279
—
NY
01
—
2067350
PK
—
Enumeration date
07/08/2006
Last updated
05/10/2016
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