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Organization
NASCENT DRUG INC
Active
Organization
NASCENT DRUG INC
Active
Other names
Warren Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ZEVON RPH SP (SUPERVISING PHARMACIST)
(718) 251-6444
Entity
Organization
Contact information
Practice address
5507 GLENWOOD RD, BROOKLYN, NY 11234-1113
(718) 251-6444
(718) 531-2294
Mailing address
5507 GLENWOOD RD, BROOKLYN, NY 11234-1113
(718) 251-6444
(718) 531-2294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015932
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00269241
—
NY
01
—
3303574
NABP
—
Enumeration date
10/19/2005
Last updated
08/22/2020
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