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NPI Code Detail

MEDICARE: PELHAM CITY PHARMACY INC

MEDICARE: PELHAM CITY PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1972233195
Entity Type Code : Organization
Provider Name (Legal Business Name) : PELHAM CITY PHARMACY INC
Provider Business Mailing Address
First Line : 2092 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10462-1412
Country : US
Telephone Number : 718-942-4888
Fax Number : 718-942-4889
Provider Business Practice Location Address
First Line : 2092 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10462-1412
Country : US
Telephone Number : 718-942-4888
Fax Number : 718-942-4889
Authorized Official
Title or Position : PRESIDENT
Name : MARLIN HABIB
Credential :
Telephone Number : 917-751-7171
Provider Enumeration Date : 06/11/2022
Last Update Date : 06/11/2022

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Directions to “PELHAM CITY PHARMACY INC ” Practice Location

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