Organization
JRJ RAISELL PHARMACY DRUG CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS SUSANA (PRESIDENT)
(212) 304-0101
Entity
Organization
Contact information
Practice address
741 ASTOR AVE, BRONX, NY 10467-9307
(347) 955-3344
(347) 955-3347
Mailing address
741 ASTOR AVE, BRONX, NY 10467-9307
(347) 955-3344
(347) 955-3347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
12/05/2024
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