Organization
MJJ PHARMACY INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL GEORGE (PRESIDENT)
(516) 660-9380
Entity
Organization
Contact information
Practice address
25310 HILLSIDE AVE, BELLEROSE, NY 11426-2152
(718) 413-7077
(718) 413-4757
Mailing address
25310 HILLSIDE AVE, BELLEROSE, NY 11426-2152
(718) 413-7077
(718) 413-4757
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03292748
—
NY
01
—
5801306
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/22/2010
Last updated
03/17/2011
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