BRONX PRESCRIPTION CENTER SOUTH INC
70 E 161st St
Bronx, NY 10451
718-665-1163
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | NY | 011440 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
02354396 | NY | MEDICAID | |
NPI | 1669469698 | OTHER |