Organization · NPI-2

1413 Fulton St Pharmacy

Pharmacy, Community/Retail Pharmacy · Brooklyn, NY

NPI number1760669261
StatusActive
Last updated in NPPESJan 28, 2008

Details

NPI
1760669261
Entity type
Organization (NPI-2)
Legal business name
1413 Fulton St Pharmacy
Organization subpart
No
Enumeration date
Jan 28, 2008
Last updated
Jan 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy015396NYYes

Practice location

1413 Fulton St
Brooklyn, NY 11216-2607

Phone 718-638-5088

Mailing address

1413 Fulton St
Brooklyn, NY 11216-2607

Phone 718-638-5088

Authorized official

Robert Berman
Tres.
7186385055

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