Organization
77 PHARMACY INC
Active
Other names
77 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RIVAS (OWNER)
(718) 684-1595
Entity
Organization
Contact information
Practice address
8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
(718) 898-7777
(718) 898-7775
Mailing address
8215 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
(718) 898-7777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
11/21/2024
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