# VICTORY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VICTORY MEMORIAL HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295741841
- **Authorized official:** RICHARD WILLIAMS MS PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (718) 567-1203

## Contact information

- **Practice address:** 699 92ND ST, BROOKLYN, NY 11228-3619
- **Practice address phone:** (718) 567-1203
- **Practice address fax:** (718) 567-1438
- **Mailing address:** 699 92ND ST, BROOKLYN, NY 11228-3619
- **Mailing address phone:** (718) 567-1203
- **Mailing address fax:** (718) 567-1438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 009868 | NY | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 04/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00243449 | — | NY |
| 05 | — | 01196318 | — | NY |
| 01 | — | 3349695 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |