Organization · NPI-2

77 Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Jackson Heights, NY

NPI number1194499343
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1194499343
Entity type
Organization (NPI-2)
Legal business name
77 Pharmacy INC
Organization subpart
No
Enumeration date
Aug 2, 2021
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • 77 Pharmacy (Doing Business As)

Practice location

8215 Roosevelt Ave
Jackson Heights, NY 11372-7034

Phone 718-898-7777 · Fax 718-898-7775

Mailing address

8215 Roosevelt Ave
Jackson Heights, NY 11372-7034

Phone 718-898-7777

Authorized official

Ronald Rivas
Owner
7186841595

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