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Organization
WELLNESS CENTER PHARMACY INC
Active
Organization
WELLNESS CENTER PHARMACY INC
Active
Other names
Wellness Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARWA KHALIFA (SUPERVISING PHARMACIST)
(718) 956-0060
Entity
Organization
Contact information
Practice address
4013 BROADWAY, ASTORIA, NY 11103-4082
(718) 956-0060
(718) 956-0065
Mailing address
4013 BROADWAY, ASTORIA, NY 11103-4082
(718) 956-0060
(718) 956-0065
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03124132
—
NY
01
—
2120556
PK
—
Enumeration date
06/10/2009
Last updated
05/04/2015
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