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Organization
HANCOCK PHARMACY INC
Active
Organization
HANCOCK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRIDHAR ADDEPALLI (PRESIDENT)
(718) 497-7000
Entity
Organization
Contact information
Practice address
715 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5337
(718) 497-7000
(718) 497-8000
Mailing address
715 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5337
(718) 497-7000
(718) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031928
NEW YORK STATE BOARD OF PHARMACY
NY
05
—
03868100
—
NY
Enumeration date
06/17/2013
Last updated
03/04/2019
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