Organization
LA GRAN FARMACIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS JIMENEZ (OWNER)
(718) 396-4091
Entity
Organization
Contact information
Practice address
9110 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 396-4091
Mailing address
9110 37TH AVE, JACKSON HEIGHTS, NY 11372-7920
(718) 396-4091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
03/19/2020
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