Mercedes Pharmacy Corp

NPI #1184848335 in Bronx, New York

Provider Information

NPI Number: 1184848335
Entity Type: Organization
Organization Name: Mercedes Pharmacy Corp
Primary Specialty: Pharmacist
Enumeration Date: Apr 12, 2007
Last Updated: Aug 12, 2011

Practice Location

Address: 514 WILLIS AVE
City: Bronx
State: New York
ZIP Code: 10455-4028
Phone: (718) 292-7979

Authorized Official

Name: MS. BRENDA JOHNSON
Title: VICE PRESIDENT
Phone: (718) 292-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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