Provider Demographics
NPI:1992047567
Name:NATURES FIRST PHARMACY CORP
Entity type:Organization
Organization Name:NATURES FIRST PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:RAPHAEL
Authorized Official - Last Name:KASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-7900
Mailing Address - Street 1:313 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2913
Mailing Address - Country:US
Mailing Address - Phone:212-228-7900
Mailing Address - Fax:212-228-7700
Practice Address - Street 1:313 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2913
Practice Address - Country:US
Practice Address - Phone:212-228-7900
Practice Address - Fax:212-228-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031526333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY031526OtherPHARMACY LICENSE NUMBER