Organization
JACKSON PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL H KHAN (PRESIDENT)
(718) 255-6723
Entity
Organization
Contact information
Practice address
7102, 37TH AVENUE, JACKSON HEIGHTS, NY 11372
(718) 255-6723
(718) 255-6784
Mailing address
7102, 37TH AVENUE, JACKSON HEIGHTS, NY 11372
(718) 255-6723
(718) 255-6784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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