904 PROSPECT PHARMACY INC NPI 1043307242

NPI Information

904 PROSPECT PHARMACY INC is a long term care pharmacy pharmacy in Bronx, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. 904 PROSPECT PHARMACY INC NPI is 1043307242. The provider is registered as an organization entity type.
The provider Is Doing Business As Boca Pharmacy.

The provider's business location address is:

904 PROSPECT AVE
BRONX, NY
ZIP 10459-929
Phone: (718) 991-6700
Fax: (718) 874-1378

The provider's authorized official is Louis Abt .
The authorized official title is Coo and has the following contact phone number (718) 991-6700.

The enumeration date for this NPI number is 10/7/2006 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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