Organization
JW SPARK II LLC
Active
Other names
Smile Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PARK (MEMEBER)
(718) 358-3800
Entity
Organization
Contact information
Practice address
15007 NORTHERN BLVD, FLUSHING, NY 11354-4968
(718) 358-3800
(718) 358-2999
Mailing address
15007 NORTHERN BLVD, FLUSHING, NY 11354-4968
(718) 358-3800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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