Organization
SAN ISIDRO EC CORP
Active
Other names
Junction Chemists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR AVILA (OWNER)
(917) 963-0129
Entity
Organization
Contact information
Practice address
3504C JUNCTION BLVD, CORONA, NY 11368-1743
(718) 424-4538
Mailing address
3504C JUNCTION BLVD, CORONA, NY 11368-1743
(718) 424-4538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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