Organization
MINA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDALIS ANTIGUA (CEO-FOUNDER)
(929) 207-4142
Entity
Organization
Contact information
Practice address
1768 E 172ND ST # 6, BRONX, NY 10472-2207
(929) 207-4142
(718) 255-1046
Mailing address
1768 E 172ND ST # 6, BRONX, NY 10472-2207
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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