Healthcare Provider Details

I. General information

NPI: 1033107651
Provider Name (Legal Business Name): OLMSTEAD DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 OLMSTEAD AVE
BRONX NY
10472-5292
US

IV. Provider business mailing address

1163 OLMSTEAD AVE
BRONX NY
10472-5292
US

V. Phone/Fax

Practice location:
  • Phone: 718-678-1800
  • Fax: 718-678-1804
Mailing address:
  • Phone:
  • Fax: 718-678-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026781
License Number StateNY

VIII. Authorized Official

Name: MR. ANAND S PATEL
Title or Position: REGISTERED PHARMACIST
Credential: RPH
Phone: 718-678-1800