Organization
JOSEPH REINA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH REINA PHARMD (PRESIDENT)
(917) 217-2304
Entity
Organization
Contact information
Practice address
65 15 FRESH POND RD, RIDGEWOOD, NY 11385
(718) 366-0626
(718) 366-1909
Mailing address
65 15 FRESH POND RD, RIDGEWOOD, NY 11385
(718) 366-0626
(718) 366-1909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028156
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068930
PK
—
05
—
2858744
—
NY
Enumeration date
02/01/2007
Last updated
01/29/2018
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