Organization · NPI-2

1413 Fulton St Pharmacy, Corp.

Pharmacist · Brooklyn, NY

NPI number1275664302
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1275664302
Entity type
Organization (NPI-2)
Legal business name
1413 Fulton St Pharmacy, Corp.
Organization subpart
No
Enumeration date
Mar 8, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist015396NYYes

Practice location

1413 Fulton St
Brooklyn, NY 11216-2607

Phone 718-638-5088 · Fax 516-371-1814

Mailing address

1413 Fulton St
Brooklyn, NY 11216-2607

Phone 718-638-5088 · Fax 516-371-1814

Authorized official

Robert Allan Berman
Tres.
7186385088

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