# THRIFTWAY CHURCH AVE. DRUG CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thriftway Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689679847
- **Authorized official:** HAIMWATTIE SINGH RPH (PRESIDENT)
- **Authorized official phone:** (718) 282-4600

## Contact information

- **Practice address:** 1621 CHURCH AVE, BROOKLYN, NY 11226-2615
- **Practice address phone:** (718) 282-4600
- **Practice address fax:** (718) 282-3815
- **Mailing address:** 1621 CHURCH AVE, BROOKLYN, NY 11226-2615
- **Mailing address phone:** (718) 282-4600
- **Mailing address fax:** (718) 282-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026603 | NY | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 01/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02551013 | — | NY |