Organization
SAN JOSE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH GONZALEZ (CO/OWNER)
(347) 642-4904
Entity
Organization
Contact information
Practice address
8424 37TH AVE, JACKSON HEIGHTS, NY 11372-7339
(347) 642-4904
(347) 531-0739
Mailing address
8424 37TH AVE, JACKSON HEIGHTS, NY 11372-7339
(347) 642-4904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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