# JRJ RAISELL PHARMACY DRUG CORP

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

## Provider details

- **NPI number:** 1871072579
- **Authorized official:** JOSE LUIS SUSANA (PRESIDENT)
- **Authorized official phone:** (212) 304-0101

## Contact information

- **Practice address:** 741 ASTOR AVE, BRONX, NY 10467-9307
- **Practice address phone:** (347) 955-3344
- **Practice address fax:** (347) 955-3347
- **Mailing address:** 741 ASTOR AVE, BRONX, NY 10467-9307
- **Mailing address phone:** (347) 955-3344
- **Mailing address fax:** (347) 955-3347

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 12/05/2024