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Organization
TEPS LLC
Active
Organization
TEPS LLC
Active
Other names
TEPS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JINNAH TANIS (SP)
(718) 222-0697
Entity
Organization
Contact information
Practice address
1563 RALPH AVE, BROOKLYN, NY 11236-3127
(718) 676-0697
(718) 676-0759
Mailing address
1563 RALPH AVE, BROOKLYN, NY 11236-3127
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3352957
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/17/2007
Last updated
04/14/2010
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