Provider Demographics
NPI:1639692817
Name:VOIMA WELLNESS PHARMACY INC
Entity Type:Organization
Organization Name:VOIMA WELLNESS PHARMACY INC
Other - Org Name:VOIMA WELLNESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-880-2441
Mailing Address - Street 1:9531 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2224
Mailing Address - Country:US
Mailing Address - Phone:718-880-2441
Mailing Address - Fax:718-880-2442
Practice Address - Street 1:9531 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421
Practice Address - Country:US
Practice Address - Phone:718-880-2441
Practice Address - Fax:718-880-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035621333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy