# BROOKVILLE PHARMACY INC

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

## Provider details

- **NPI number:** 1427599620
- **Authorized official:** BORUKH AMINOV (MANAGER)
- **Authorized official phone:** (718) 749-5515

## Contact information

- **Practice address:** 23520 147TH AVE, ROSEDALE, NY 11422-3226
- **Practice address phone:** (718) 749-5515
- **Mailing address:** 23520 147TH AVE, ROSEDALE, NY 11422-3226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NY | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 07/21/2022