Organization
BOBO PHARMACY INC
Active
Other names
BOBO Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LINJUE HUA (PRESIDENT)
(718) 759-6308
Entity
Organization
Contact information
Practice address
6903 18TH AVE, BROOKLYN, NY 11204-5076
(718) 759-6308
(718) 759-6309
Mailing address
6903 18TH AVE, BROOKLYN, NY 11204-5076
(718) 759-6308
(718) 759-6309
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03850979
—
NY
01
—
2144804
PK
—
Enumeration date
03/07/2014
Last updated
03/09/2017
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