Organization
EVERS RX INC
Active
Other names
Boom Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE WATTS (PRESIDENT)
(718) 292-0900
Entity
Organization
Contact information
Practice address
226 E 144TH ST FL 2, BRONX, NY 10451-5909
(718) 292-0900
(718) 292-0909
Mailing address
226 E 144TH ST FL 2, BRONX, NY 10451-5909
(718) 292-0900
(718) 292-0909
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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