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Organization

UTICA EXPRESS PHARMACY INC

Active
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Organization

UTICA EXPRESS PHARMACY INC

Active
Other names
Macaya Pharma
Organization subpart
No

Provider details

NPI number
Authorized official
MARC JERIS LOUIS JEAN (PRESIDENT)
(718) 484-1704
Entity
Organization

Contact information

Practice address
190 UTICA AVE, GROUND FL, BROOKLYN, NY 11213-2939
(718) 484-1704
(718) 484-1700
Mailing address
190 UTICA AVE, GROUND FL, BROOKLYN, NY 11213-2939
(718) 484-1704
(718) 484-1700

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RO00251300
NJ BOP
NJ
Enumeration date
07/27/2020
Last updated
07/18/2024
About Stedi
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