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Organization
VICTORY MEMORIAL HOSPITAL
Active
Organization
VICTORY MEMORIAL HOSPITAL
Active
Other names
VICTORY MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAMS MS PHARMD (DIRECTOR OF PHARMACY)
(718) 567-1203
Entity
Organization
Contact information
Practice address
699 92ND ST, BROOKLYN, NY 11228-3619
(718) 567-1203
(718) 567-1438
Mailing address
699 92ND ST, BROOKLYN, NY 11228-3619
(718) 567-1203
(718) 567-1438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
009868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243449
—
NY
05
—
01196318
—
NY
01
—
3349695
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/01/2006
Last updated
04/20/2010
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