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Organization

GUARDIOLA PHARMACY INC

Active
Other names
Guardiola Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROGELIO FERNANDEZ (PRESIDENT)
(718) 672-9700
Entity
Organization

Contact information

Practice address
9312 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7944
(718) 672-9700
(718) 672-9701
Mailing address
9312 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7944
(718) 672-9700
(718) 672-9701

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
032938
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2147524
PK
Enumeration date
07/28/2014
Last updated
09/16/2014
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