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Organization

ANTIGUA LOCAL PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDALIS ANTIGUA (MANAGING MEMBER/ SECRETARY)
(347) 794-0531
Entity
Organization

Contact information

Practice address
1961 SOUTHERN BLVD, BRONX, NY 10460-1419
(718) 299-0299
(718) 299-2299
Mailing address
1961 SOUTHERN BLVD, BRONX, NY 10460-1419

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/19/2019
Last updated
09/19/2019
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