Organization
CITI EXPRESS PHARMACY AND MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLYJEAN RAYMOND-JOSEPH (PHARMACIST)
(718) 355-8800
Entity
Organization
Contact information
Practice address
4217 CHURCH AVE, BROOKLYN, NY 11203-3011
(718) 355-8800
(646) 588-0462
Mailing address
4217 CHURCH AVE, BROOKLYN, NY 11203-3011
(718) 355-8800
(646) 588-0462
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760639108
—
NY
Enumeration date
09/21/2018
Last updated
05/17/2023
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