103 PHARMACY INC
Organization (NPI-2)
Active
Pharmacy
Provider Information
- NPI Number
1902268162- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2002 2ND AVE STORE 1, NEW YORK, NY, 100295445
- Phone
- (212) 410-4410
- Fax
- (212) 410-4414
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Pharmacy
Primary License: NY #034593