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Organization
VERNON BLVD PHARMACY INC
Active
Organization
VERNON BLVD PHARMACY INC
Active
Other names
VERNON BLVD PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SCHIPPER RPH (OWNER)
(718) 361-7390
Entity
Organization
Contact information
Practice address
4815 VERNON BLVD, LONG ISLAND CITY, NY 11101-5616
(718) 361-7390
(718) 729-9613
Mailing address
4815 VERNON BLVD, LONG ISLAND CITY, NY 11101-5616
(718) 361-7390
(718) 729-9613
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014951
—
NY
01
—
2064542
PK
—
Enumeration date
06/18/2006
Last updated
04/13/2021
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