Organization
JAFFRI ENTERPRISES INC
Active
Other names
MACOMBS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SYED Y RAZA (PRESIDENT)
(718) 299-4331
Entity
Organization
Contact information
Practice address
1729 NELSON AVE, BRONX, NY 10453-7003
(718) 299-4331
(718) 299-4332
Mailing address
1729 NELSON AVE, BRONX, NY 10453-7003
(718) 299-4331
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
026372
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02525928
—
NY
01
—
3336941
OTHER ID NUMBER
—
Enumeration date
12/15/2006
Last updated
07/10/2012
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