167st Rx Center INC

NPI #1578544839 in Bronx, New York

Provider Information

NPI Number: 1578544839
Entity Type: Organization
Organization Name: 167st Rx Center INC
Primary Specialty: Pharmacist
Enumeration Date: Nov 11, 2005
Last Updated: Jan 28, 2010

Practice Location

Address: 112 E 167TH ST
City: Bronx
State: New York
ZIP Code: 10452-8205
Phone: (718) 681-5644

Authorized Official

Name: MR. MARTIN BENNETT
Title: SUPERVISING PHARMACIST
Phone: (718) 681-5644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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