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Organization
BRANAC NY LLC
Active
Organization
BRANAC NY LLC
Active
Other names
Coney Island Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MOISEYEV (PIC)
(718) 333-2525
Entity
Organization
Contact information
Practice address
2720 MERMAID AVE, BROOKLYN, NY 11224-2006
(718) 333-2525
Mailing address
1047 SURF AVE FL 2, BROOKLYN, NY 11224-2810
(917) 830-2522
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
09/08/2020
Last updated
10/04/2023
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