115 Irving Ave Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Brooklyn, NY. Organization (NPI-2).
NPI number1932265642
StatusActive
Last updated in NPPESApr 24, 2017
Details
- NPI
- 1932265642
- Entity type
- Organization (NPI-2)
- Legal business name
- 115 Irving Ave Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Apr 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 035113 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Atlantic Pharmacy & Surgical Supplies (Doing Business As)
Practice location
1706b Atlantic AveBrooklyn, NY 11213-1206
Phone 718-484-2260 · Fax 718-484-2261
Mailing address
1706b Atlantic AveBrooklyn, NY 11213-1206
Phone 718-484-2260 · Fax 718-484-2261
Authorized official
Devang Raval
Pharmacy Manager
7184842260
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