East Drive Pharmacy, Inc.

NPI #1164574976 in New York, New York

Provider Information

NPI Number: 1164574976
Entity Type: Organization
Organization Name: East Drive Pharmacy, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 93 AVENUE D
City: New York
State: New York
ZIP Code: 10009-5338
Phone: (212) 228-0400

Authorized Official

Name: MR. IRA MARK LIPPELL, RPH
Title: PRESIDENT
Phone: (212) 228-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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