Healthcare Provider Details
I. General information
NPI: 1245214030
Provider Name (Legal Business Name): ESQUIRE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2005
Last Update Date: 06/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
277 1ST AVE
NEW YORK NY
10003-2994
US
IV. Provider business mailing address
277 1ST AVE
NEW YORK NY
10003-2994
US
V. Phone/Fax
- Phone: 212-228-2260
- Fax: 212-228-2261
- Phone: 212-228-2260
- Fax: 212-228-2261
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHITANSHU
ANIL
VORA
Title or Position: VICE PRESIDENT/PHARMACIST
Credential:
Phone: 212-228-2260