Provider Demographics
NPI:1407489222
Name:VALENTINA'S PHARMACY INC
Entity Type:Organization
Organization Name:VALENTINA'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-449-0133
Mailing Address - Street 1:14 W 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4502
Mailing Address - Country:US
Mailing Address - Phone:646-449-0133
Mailing Address - Fax:646-449-0193
Practice Address - Street 1:14 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4502
Practice Address - Country:US
Practice Address - Phone:646-449-0133
Practice Address - Fax:646-449-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy