Organization
SANTA FE PHARMACY INC
Active
Other names
santa fe pharmacy inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISSREN K GADELRAB RPH (SUPERVISING PHARMACIST)
(718) 651-7400
Entity
Organization
Contact information
Practice address
8831 37TH AVE, JACKSON HEIGHTS, NY 11372-7736
(718) 651-7400
(718) 651-1777
Mailing address
8831 37TH AVE, JACKSON HEIGHTS, NY 11372-7736
(718) 651-7400
(718) 651-1777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026153
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02461549
—
NY
Enumeration date
07/08/2006
Last updated
11/02/2018
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