Organization
ANCHOR HEALTH GROUP CORP
Active
Other names
GENESIS WELLNESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY ANN JONES (PRESIDENT)
(347) 879-7005
Entity
Organization
Contact information
Practice address
1926 CROTONA PKWY, BRONX, NY 10460-1845
(347) 879-7005
(347) 879-7006
Mailing address
1926 CROTONA PKWY, BRONX, NY 10460-1845
(347) 879-7005
(347) 879-7006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036496
NYS STATE BOARD OF PHARMACY
NY
Enumeration date
06/13/2018
Last updated
01/10/2019
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