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Organization
CRESETTI DRUG CORP
Active
Organization
CRESETTI DRUG CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CHRISTOPHER SUTHERLAND RPH (PHARMACIST)
(718) 768-0600
Entity
Organization
Contact information
Practice address
454 5TH AVE, BROOKLYN, NY 11215-4003
(718) 768-0600
(718) 832-2912
Mailing address
454 5TH AVE, BROOKLYN, NY 11215-4003
(718) 768-0600
(718) 832-2912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
019466
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
333600000X
Pharmacy
Primary
019466
NY
3336L0003X
Long Term Care Pharmacy
019466
NY
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01022637
—
NY
Enumeration date
05/28/2005
Last updated
02/27/2018
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