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Organization
SWAN PHARMACY INC
Active
Organization
SWAN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOCAMAGU TUSWA (PHARMACIST)
(718) 623-9633
Entity
Organization
Contact information
Practice address
650 FRANKLIN AVE, BROOKLYN, NY 11238-3705
(718) 623-9633
(718) 623-9842
Mailing address
650 FRANKLIN AVE, BROOKLYN, NY 11238-3705
(718) 623-9633
(718) 623-9842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02513326
—
NY
01
—
3336357
NCPDP
NY
Enumeration date
01/25/2007
Last updated
07/27/2007
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