Organization
CORONA WELLNESS PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERENICE TORRES (PRESIDENT)
(347) 481-5558
Entity
Organization
Contact information
Practice address
9608 37TH AVE, CORONA, NY 11368-1735
(917) 832-6560
(917) 832-6719
Mailing address
9608 37TH AVE, CORONA, NY 11368-1735
(917) 832-6560
(917) 832-6719
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035074
NY
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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