Mannix Family Market @ Forest and Richmond Ave LLC
NPI #1003006982 in Staten Island, New York
Provider Information
- NPI Number
- 1003006982
- Entity Type
- Organization
- Organization Name
- Mannix Family Market @ Forest and Richmond Ave LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 985 RICHMOND AVE
- City
- Staten Island
- State
- New York
- ZIP Code
- 10314-1501
- Phone
- (718) 982-8615
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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