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Organization
514 WILLIS AVENUE DRUG CORP
Active
Organization
514 WILLIS AVENUE DRUG CORP
Active
Other names
Boca Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN TANVIR (GM)
(718) 292-7979
Entity
Organization
Contact information
Practice address
514 WILLIS AVE, BRONX, NY 10455
(718) 292-7979
Mailing address
514 WILLIS AVE, BRONX, NY 10455-4028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Enumeration date
05/14/2018
Last updated
04/02/2019
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