St Theresa Pharmacy Corp

NPI #1619259793 in New York, New York

Provider Information

NPI Number
1619259793
Entity Type
Organization
Organization Name
St Theresa Pharmacy Corp
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 14, 2011
Last Updated
Oct 15, 2011

Practice Location

Address
3849 10TH AVENUE
ZIP Code
10034
Phone
(646) 413-5795

Authorized Official

Name
MR. ANTHONY OVALLES
Title
PRESIDENT
Phone
(646) 413-5795

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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