Organization
BUENA VIDA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GONZALEZ (PRESIDENT)
(718) 458-4500
Entity
Organization
Contact information
Practice address
9108 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 458-4500
Mailing address
9108 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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