Organization
77 PHARMACY INC
Active
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
(718) 898-7775
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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