Organization
872 HPA DRUG CORP
Active
Other names
Boca Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YARISA DELEON (BOOKKEEPER)
(718) 971-9391
Entity
Organization
Contact information
Practice address
736 E 152ND ST, BRONX, NY 10455-2203
(718) 292-2088
(718) 929-4884
Mailing address
PO BOX 740054, BRONX, NY 10474-0001
(718) 292-2088
(718) 292-4884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207023
—
NY
01
—
2063665
PK
—
Enumeration date
09/20/2006
Last updated
06/13/2016
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