Organization
9BURNSIDE INC
Active
Other names
FARMACIA VIDA
Organization subpart
No
Provider details
NPI number
Authorized official
ELVER PARRA (PRESIDENT)
(718) 684-4260
Entity
Organization
Contact information
Practice address
9 W BURNSIDE AVE, BRONX, NY 10453-4003
(718) 684-4260
(718) 684-4261
Mailing address
9 W BURNSIDE AVE, BRONX, NY 10453-4003
(718) 684-4260
(718) 684-4261
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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