# 77 PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255296299
- **Authorized official:** RONALD RIVAS (OWNER)
- **Authorized official phone:** (718) 684-1595

## Contact information

- **Practice address:** 8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
- **Practice address phone:** (718) 898-7777
- **Practice address fax:** (718) 898-7775
- **Mailing address:** 8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
- **Mailing address phone:** (718) 898-7777
- **Mailing address fax:** (718) 898-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2025
- **Last updated:** 12/22/2025