Provider Demographics
NPI:1144804253
Name:YONKERS EXPRESS PHARMACY INC
Entity Type:Organization
Organization Name:YONKERS EXPRESS PHARMACY INC
Other - Org Name:YONKERS EXPRESS PHARMACY INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-310-6148
Mailing Address - Street 1:62 WARBURTON AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7037
Mailing Address - Country:US
Mailing Address - Phone:914-457-7968
Mailing Address - Fax:914-457-7969
Practice Address - Street 1:62 WARBURTON AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7037
Practice Address - Country:US
Practice Address - Phone:914-457-7968
Practice Address - Fax:914-457-7969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy