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Organization
STJ RX INC.
Active
Organization
STJ RX INC.
Active
Other names
Thriftway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX PERCHUK RPH (CORPORATE SECRETARY)
(718) 835-2000
Entity
Organization
Contact information
Practice address
720 CLASSON AVE, BROOKLYN, NY 11238-4231
(718) 399-1800
(718) 399-2681
Mailing address
720 CLASSON AVE, BROOKLYN, NY 11238-4231
(718) 399-1800
(718) 399-2681
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
017695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016068
—
NY
Enumeration date
06/15/2005
Last updated
07/19/2013
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