# THRIFTWAY FLATBUSH AVE. DRUG CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thriftway Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376548545
- **Authorized official:** ALEX PERCHUK RPH (CORPORATE SECRETARY)
- **Authorized official phone:** (718) 835-2000

## Contact information

- **Practice address:** 542 FLATBUSH AVE, BROOKLYN, NY 11225-4804
- **Practice address phone:** (718) 284-9800
- **Practice address fax:** (718) 462-5303
- **Mailing address:** 542 FLATBUSH AVE, BROOKLYN, NY 11225-4804
- **Mailing address phone:** (718) 284-9800
- **Mailing address fax:** (718) 462-5303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026138 | NY | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 07/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02394865 | — | NY |