Organization
VVSB PHARMACY INC
Active
Other names
ROBERT JACOBSON PHARMACY LTD, Robert Jacobson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PAUL (PHARMACY MANAGER)
(917) 412-6622
Entity
Organization
Contact information
Practice address
231 ASHBURTON AVE, YONKERS, NY 10701-3227
(914) 965-3049
(914) 965-5246
Mailing address
231 ASHBURTON AVE, YONKERS, NY 10701-3227
(914) 965-3049
(914) 965-5246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139491
PK
—
Enumeration date
09/06/2012
Last updated
10/22/2019
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