JAC PHARMACY INC
Suppliers at Roosevelt Ave, Flushing, NY

License number
New York 018088
Category
Suppliers
Type
Pharmacy
License number
New York 018088
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MR. JOSE CAMPON JD
Title: LEGAL
Phone: (516) 523-6948
Address
Address
9315 Roosevelt Ave, Flushing, NY 11372
National Provider ID: 1679518781
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAC PHARMACY INC

Flushing, NY

Industry:
Pharmacy
Doing business as:
Leader Drug Store
Registration:
Dec 5, 1983
Phone:
(718) 478-6863 (Phone)
Addresses:
93-15 Roosevelt Ave, Jackson Heights, NY 11372 (Physical)
9315 Roosevelt Ave, Flushing, NY 11372
State ID:
811966
Business type:
DOMESTIC BUSINESS CORPORATION
Managers:
Jose M Campon (Owner, President), 93-15 Roosevelt Ave, Jackson Heights, NY 11372 (Physical),Mohamed S. Shams (Director Of Pharmacy),Sam Ko Manager, inactive

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