Organization
JAS PHARMACY INC.
Active
Other names
simelson pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A LIZZUL RPH (PHARMACIST OWNER)
(718) 892-4222
Entity
Organization
Contact information
Practice address
52 WESTCHESTER SQUARE, BRONX, NY 10461
(718) 892-4222
(718) 824-9013
Mailing address
52 WESTCHESTER SQUARE, BRONX, NY 10461
(718) 892-4222
(718) 824-9013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01295101
—
NY
Enumeration date
01/04/2007
Last updated
08/31/2022
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