# RUBINO PHARMACY

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

## Provider details

- **NPI number:** 1659356863
- **Authorized official:** NICHOLAS RUBINO (OWNER)
- **Authorized official phone:** (718) 256-5052

## Contact information

- **Practice address:** 6602 17TH AVE, BROOKLYN, NY 11204-4303
- **Practice address phone:** (718) 256-5052
- **Mailing address:** 6602 17TH AVE, BROOKLYN, NY 11204-4303
- **Mailing address phone:** (718) 256-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2491 | NY | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00268020 | — | NY |
| 01 | — | 3309831 | NCDCP | — |