NPI Code Details Logo

NPI 1417039207

NPI 1417039207 : B EIDINGER & SON DRUG CORP : NEW YORK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417039207
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    B EIDINGER & SON DRUG CORP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/20/2006
-----------------------------------------------------
    Last Update Date     |    10/16/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    250 3RD AVE 
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10010-7465
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-475-1144
-----------------------------------------------------
    Fax                  |    212-777-1032
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    250 3RD AVE 
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10010-7465
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-475-1144
-----------------------------------------------------
    Fax                  |    212-777-1032
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    RPH
-----------------------------------------------------
    Name                 |     MITCHELL  BARELL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    212-475-1144
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    006599
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.