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Organization
INTERBORO PHARMACY INC.
Active
Organization
INTERBORO PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKSIM GLEZER (PHARMACIST)
(917) 597-7759
Entity
Organization
Contact information
Practice address
75 NEVINS STREET, BROOKLYN, NY 11217
(718) 858-5500
(718) 858-5506
Mailing address
75 NEVINS STREET, BROOKLYN, NY 11217
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029094
NY
3336C0003X
Community/Retail Pharmacy
029094
NY
Other
Enumeration date
09/26/2008
Last updated
01/26/2009
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