Provider Demographics
NPI:1700652484
Name:ARDENT PHARMACY INC
Entity Type:Organization
Organization Name:ARDENT PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/SP
Authorized Official - Prefix:
Authorized Official - First Name:BENIAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YUNUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-405-9111
Mailing Address - Street 1:989 ALLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-4336
Mailing Address - Country:US
Mailing Address - Phone:718-405-9111
Mailing Address - Fax:718-405-9112
Practice Address - Street 1:989 ALLERTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-4336
Practice Address - Country:US
Practice Address - Phone:718-405-9111
Practice Address - Fax:718-405-9112
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARDENT PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy