Fresh Pond Rx INC

NPI #1720557523 in Ridgewood, New York

Provider Information

NPI Number
1720557523
Entity Type
Organization
Organization Name
Fresh Pond Rx INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 21, 2018
Last Updated
Mar 4, 2019

Practice Location

Address
7104 FRESH POND RD
ZIP Code
11385-5905
Phone
(929) 295-0033

Authorized Official

Name
PATRICK STUART OBRIEN
Title
PRESIDENT
Phone
(929) 295-0033

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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