Provider Demographics
NPI:1124417126
Name:JULIE PHARMACY CORPORATION
Entity type:Organization
Organization Name:JULIE PHARMACY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RICELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-926-9800
Mailing Address - Street 1:3621 BROADWAY # STORE1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-2518
Mailing Address - Country:US
Mailing Address - Phone:212-926-9800
Mailing Address - Fax:212-926-2228
Practice Address - Street 1:3621 BROADWAY # STORE1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-2518
Practice Address - Country:US
Practice Address - Phone:212-926-9800
Practice Address - Fax:212-926-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY033746OtherSTATE LICENSE