Provider Demographics
NPI:1356955454
Name:BRONXVILLE PHARMACY INC
Entity type:Organization
Organization Name:BRONXVILLE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:IJAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-346-5600
Mailing Address - Street 1:57 PONDFIELD RD W
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2632
Mailing Address - Country:US
Mailing Address - Phone:914-346-5600
Mailing Address - Fax:914-268-2874
Practice Address - Street 1:57 PONDFIELD RD W
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2632
Practice Address - Country:US
Practice Address - Phone:914-346-5600
Practice Address - Fax:914-268-2874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy