| Agra Pharmacy Inc | |
|
1575 Bathgate Ave Agra Pharmacy Inc Bronx NY 10457-8216 | |
| (718) 583-2535 | |
| Not Available |
| Full Name | Agra Pharmacy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1575 Bathgate Ave, Bronx, New York |
| Authorized Official Name and Position | George Thomas (PHARMACIST) |
| Authorized Official Contact | 7185832535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agra Pharmacy Inc 1575 Bathgate Ave Agra Pharmacy Inc Bronx NY 10457-8216 Ph: (718) 583-2535 | Agra Pharmacy Inc 1575 Bathgate Ave Agra Pharmacy Inc Bronx NY 10457-8216 Ph: (718) 583-2535 |
| NPI Number | 1780747485 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/18/2009 |
| Medicare PECOS PAC ID | 7911028089 |
|---|---|
| Medicare Enrollment ID | O20100930053586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780747485 | NPI | - | NPPES |
| 02058973 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 024599 (New York) | Primary |
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