Healthcare Provider Details

I. General information

NPI: 1952560724
Provider Name (Legal Business Name): 370 PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 LEXINGTON AVE
NEW YORK NY
10017-6503
US

IV. Provider business mailing address

370 LEXINGTON AVE
NEW YORK NY
10017-6503
US

V. Phone/Fax

Practice location:
  • Phone: 212-286-8400
  • Fax: 212-286-8688
Mailing address:
  • Phone: 212-286-8400
  • Fax: 212-286-8688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number028883
License Number StateNY

VIII. Authorized Official

Name: ALEX NOSKOV
Title or Position: PRESIDENT
Credential: PHRMD
Phone: 212-286-8400