# 222 JAMAICA DRUG LLC

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

## Provider details

- **NPI number:** 1265987994
- **Authorized official:** JACOB JAMRON (CEO)
- **Authorized official phone:** (718) 971-9391

## Contact information

- **Practice address:** 221 21 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2097
- **Practice address phone:** (718) 465-5196
- **Practice address fax:** (718) 468-7782
- **Mailing address:** PO BOX 740054, BRONX, NY 10474-0001
- **Mailing address phone:** (718) 971-9391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034857 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 09/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2163791 | PK | — |