Organization
ROSALISE PHARMACY CORP
Active
Other names
Rosalise pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANGELA PEREZ (OWNER)
(212) 690-6502
Entity
Organization
Contact information
Practice address
3355 BROADWAY, NEW YORK, NY 10031-7402
(212) 690-6502
(646) 838-6985
Mailing address
3355 BROADWAY, NEW YORK, NY 10031-7402
(212) 690-6502
(646) 838-6985
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033480
NYS PHARMACY LICENSE
NY
Enumeration date
04/10/2015
Last updated
12/04/2020
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