Organization
GOOSE STAFF MEDICAL LLC
Active
Other names
JACOFF'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MALINAS (PRESIDENT)
(347) 789-9578
Entity
Organization
Contact information
Practice address
839 EMPIRE BLVD, BROOKLYN, NY 11213-5653
(347) 789-9578
(718) 498-7927
Mailing address
839 EMPIRE BLVD, BROOKLYN, NY 11213-5653
(347) 789-9578
(718) 498-7927
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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