Organization · NPI-2

47th Street Enterprise, LLC

Pharmacy, Community/Retail Pharmacy · Brooklyn, NY

NPI number1710310693

StatusActive

Last updated in NPPESJun 12, 2018

Details

NPI: 1710310693
Entity type: Organization (NPI-2)
Legal business name: 47th Street Enterprise, LLC
Organization subpart: No
Enumeration date: Aug 15, 2013
Last updated: Jun 12, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	032141	NY	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–
3336C0003X	Pharmacy, Community/Retail Pharmacy	28RO00122600	NJ

Practice location

4620 3rd Ave
Brooklyn, NY 11220

Phone 718-439-1570 · Fax 718-439-1567

Mailing address

4620 3rd Ave
Brooklyn, NY 11220-1034

Phone 718-439-1570 · Fax 718-439-1567

Authorized official

Hassan Muyir
Owner
9174077443

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