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Organization
TRADITIONAL PHARMACY INC
Active
Organization
TRADITIONAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA BERKOWITZ RPH (SUP PHARM AND PRT OWNER)
(718) 787-2300
Entity
Organization
Contact information
Practice address
1206 AVENUE M, BROOKLYN, NY 11230-5204
(718) 787-2300
(718) 382-3988
Mailing address
1206 AVENUE M, BROOKLYN, NY 11230-5204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027341
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689265
—
NY
01
—
3346548
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/03/2006
Last updated
12/27/2011
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