Organization · NPI-2

1491 Dekalb Ave Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Brooklyn, NY

NPI number1760547186
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1760547186
Entity type
Organization (NPI-2)
Legal business name
1491 Dekalb Ave Pharmacy INC
Organization subpart
No
Enumeration date
Dec 26, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X Pharmacy018542NY

Other names

  • Dekalb Pharmacy (Doing Business As)

Practice location

1472 Dekalb Ave
Brooklyn, NY 11237-3604

Phone 718-381-0018 · Fax 718-456-4983

Mailing address

1472 Dekalb Ave
Brooklyn, NY 11237-3604

Authorized official

Kazi Anam
Pres
7183810018

Is something wrong?

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