1070 Southern Drug LLC
Pharmacy, Community/Retail Pharmacy in Bronx, NY. Organization (NPI-2).
NPI number1497152706
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1497152706
- Entity type
- Organization (NPI-2)
- Legal business name
- 1070 Southern Drug LLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2014
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 033179 | NY |
Other names
- Boca Pharmacy (Doing Business As)
Practice location
1030 Westchester AveBronx, NY 10459-2415
Phone 718-618-7878 · Fax 718-701-0226
Mailing address
Po Box 740054Bronx, NY 10474-0001
Phone 718-618-7878 · Fax 718-701-0226
Authorized official
Jacob Jamron
Ceo
7189916700
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