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Organization
WILLIS 146 PHARMACY INC
Active
Organization
WILLIS 146 PHARMACY INC
Active
Other names
BZ Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFQAT MIR (OWNER)
(917) 891-8700
Entity
Organization
Contact information
Practice address
473 WILLIS AVE, BRONX, NY 10455-4063
(917) 891-8700
(917) 891-8701
Mailing address
473 WILLIS AVE, BRONX, NY 10455-4063
(917) 891-8700
(917) 891-8701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01467330
—
NY
01
—
2169764
PK
—
Enumeration date
06/06/2017
Last updated
07/19/2018
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