# 514 WILLIS AVENUE DRUG CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boca Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194215392
- **Authorized official:** USMAN TANVIR (GM)
- **Authorized official phone:** (718) 292-7979

## Contact information

- **Practice address:** 514 WILLIS AVE, BRONX, NY 10455
- **Practice address phone:** (718) 292-7979
- **Mailing address:** 514 WILLIS AVE, BRONX, NY 10455-4028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2018
- **Last updated:** 04/02/2019