475 Pharmacy Corp

NPI #1508940768 in Yonkers, New York

Provider Information

NPI Number: 1508940768
Entity Type: Organization
Organization Name: 475 Pharmacy Corp
Primary Specialty: Pharmacist
Enumeration Date: Oct 24, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 642 MCLEAN AVE
City: Yonkers
State: New York
ZIP Code: 10705-4740
Phone: (914) 963-0888

Authorized Official

Name: MR. PETER WAI LAM IP, RPH
Title: SUPERVISING PHARMACIST
Phone: (914) 963-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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