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Organization

JSM PHARMACY INC

Active
Other names
Roosevelt Chemists inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JANARDAN SONI (OWNER/PRESIDENT)
(718) 255-6355
Entity
Organization

Contact information

Practice address
5311 ROOSEVELT AVE, WOODSIDE, NY 11377-4238
(718) 255-6355
(718) 255-6353
Mailing address
5311 ROOSEVELT AVE, WOODSIDE, NY 11377-4238
(718) 255-6355
(718) 255-6353

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031764
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031764
STATE PHARMACY LICENSE
NY
Enumeration date
09/14/2017
Last updated
07/21/2022
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