Healthcare Provider Details
I. General information
NPI: 1275626608
Provider Name (Legal Business Name): ESCO DRUG CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
687 9TH AVE
NEW YORK NY
10036
US
IV. Provider business mailing address
687 9TH AVE
NEW YORK NY
10036-3630
US
V. Phone/Fax
- Phone: 212-246-8169
- Fax: 212-265-7364
- Phone: 212-246-8169
- Fax: 212-265-7364
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 003599 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
DANNY
N
DANG
Title or Position: PRESIDENT
Credential:
Phone: 212-246-8169