Organization
167 LIFE STAR PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARTINEZ (MANAGER)
(917) 724-7701
Entity
Organization
Contact information
Practice address
1215 JEROME AVE, BRONX, NY 10452-3301
(917) 473-7530
Mailing address
1215 JEROME AVE, BRONX, NY 10452-3301
(917) 473-7530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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