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Organization

SONRISA CORP

Active
Other names
SAINT HELENA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WALLY CONTRERAS (PRESIDENT)
(718) 742-9500
Entity
Organization

Contact information

Practice address
755B EAST 149TH ST, BRONX, NY 10455
(718) 742-9500
(718) 742-0005
Mailing address
755B EAST 149TH ST, BRONX, NY 10455
(718) 742-9500

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000000
N/A
Enumeration date
06/19/2017
Last updated
07/21/2022
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