Organization
VARELA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER FERNANDEZ RPH (OWNER/PHARMACIST)
(917) 832-6095
Entity
Organization
Contact information
Practice address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
(917) 832-6095
Mailing address
5314 ROOSEVELT AVE, WOODSIDE, NY 11377-4239
(917) 832-6095
(347) 531-0918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034802
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034802
NEW YORK STATE
NY
05
—
04650419
—
NY
Enumeration date
07/28/2016
Last updated
07/01/2022
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