Organization
736 EAST 152ND STREET PHARMACY INC
Active
Other names
BOCA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JAMRON RPH (PRESIDENT)
(917) 941-2780
Entity
Organization
Contact information
Practice address
736 E 152ND ST, BRONX, NY 10455-2203
(718) 292-2088
(718) 292-4884
Mailing address
736 E 152ND ST, BRONX, NY 10455-2203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3356955
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/19/2007
Last updated
09/03/2008
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