Organization
ROOSEVELT CITY PHARMACY INC
Active
Other names
City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAIYING LI (PRESIDENT)
(718) 255-1065
Entity
Organization
Contact information
Practice address
7918 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6717
(718) 255-1065
(718) 255-6734
Mailing address
7918 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6717
(718) 255-1065
(718) 255-6734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
035296
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168619
PK
—
Enumeration date
03/20/2017
Last updated
04/26/2017
About Stedi
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