Organization
DORIS FASHION OUTLET
Active
Other names
DORIS FASHION OUTLET AND VARIETY STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS OBENG (MANAGER)
(718) 502-1489
Entity
Organization
Contact information
Practice address
2128 JEROME AVE, BRONX, NY 10453-1808
(718) 502-1489
Mailing address
2128 JEROME AVE, BRONX, NY 10453-1808
(718) 502-1489
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/19/2024
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