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Organization

514 WILLIS AVENUE DRUG CORP

Active
Other names
Boca Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
USMAN TANVIR (GM)
(718) 292-7979
Entity
Organization

Contact information

Practice address
514 WILLIS AVE, BRONX, NY 10455
(718) 292-7979
Mailing address
514 WILLIS AVE, BRONX, NY 10455-4028

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
05/14/2018
Last updated
04/02/2019
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