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Organization
WAKEFIELD PHARMACY INC.
Active
Organization
WAKEFIELD PHARMACY INC.
Active
Other names
Queens Wakefield Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT THOMAS MASON RPH-BS-MS-PHARMD (PHARMACIST)
(718) 843-3900
Entity
Organization
Contact information
Practice address
13525 LEFFERTS BLVD, SOUTH OZONE PARK, NY 11420-3601
(718) 843-3900
(718) 843-6044
Mailing address
13525 LEFFERTS BLVD, SOUTH OZONE PARK, NY 11420-3601
(718) 843-3900
(718) 843-6044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017693
STORE STATE LICENSE NO.
NY
01
—
3375816
NAPB NUMBER
NY
Enumeration date
04/23/2007
Last updated
03/07/2023
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