# CRESETTI DRUG CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376546820
- **Authorized official:** MR. THOMAS CHRISTOPHER SUTHERLAND RPH (PHARMACIST)
- **Authorized official phone:** (718) 768-0600

## Contact information

- **Practice address:** 454 5TH AVE, BROOKLYN, NY 11215-4003
- **Practice address phone:** (718) 768-0600
- **Practice address fax:** (718) 832-2912
- **Mailing address:** 454 5TH AVE, BROOKLYN, NY 11215-4003
- **Mailing address phone:** (718) 768-0600
- **Mailing address fax:** (718) 832-2912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 019466 | NY | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | 019466 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | 019466 | NY | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/28/2005
- **Last updated:** 02/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01022637 | — | NY |