Organization · Type 2 NPI

904 Prospect Pharmacy Inc

Long Term Care Pharmacy · Bronx, NY

NPI number 1043307242 Active

Practice location

904 Prospect Ave
Bronx, NY 10459-3929

Call (718) 991-6700 Map

Fax (718) 874-1378

Mailing address

PO Box 740054
Bronx, NY 10474-0001

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy	3336C0003X	027296 (NY)
Long Term Care Pharmacy Primary	3336L0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

4 other providers at this address

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About NPI 1043307242

904 Prospect Pharmacy Inc's National Provider Identifier is 1043307242, issued on Oct 7, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Bronx, NY. The record was last updated on Jul 30, 2025.