Organization
SAN JOSE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIN WANG (PHARMACIST)
(212) 567-1107
Entity
Organization
Contact information
Practice address
153A SHERMAN AVE, NY, NY 10034
(212) 567-1107
Mailing address
153A SHERMAN AVE, NY, NY 10034
(212) 567-1107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027328
NY
Other
Enumeration date
05/23/2007
Last updated
09/28/2007
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