NPI Provider: 1255375002
Contact Name: KANNABY MAZEN
Position: PRESIDENT
Phone: (718) 651-1400
Super Pharmacy Unica Information:
Super Pharmacy Unica organization have npi 1255375002, taxonomy code is 333600000X with license number is 27334 in . This Business address located in 7617 37th Ave, Jackson Heights, NY 11372 New York. Get directions of Super Pharmacy Unica
.
Practice Location
Address: 7617 37th Ave, Jackson Heights, NY 11372
Phone: (718) 651-1400
Business Location
Address: 7617 37th Ave, Jackson Heights, NY 11372
Taxonomy
Taxonomy Code: 333600000X
License Number: 27334
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/15/2006
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