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Organization
CHURCH AVE PHARMACY INC
Active
Organization
CHURCH AVE PHARMACY INC
Active
Other names
CHURCH AVE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
YEFIM BUBIS (SUPERVISOR PHARMACIST)
(718) 941-2200
Entity
Organization
Contact information
Practice address
1810 CHURCH AVE, BROOKLYN, NY 11226
(718) 941-2200
(718) 941-2300
Mailing address
1810 CHURCH AVE, BROOKLYN, NY 11226
(718) 941-2200
(718) 941-2300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123154
PK
—
05
—
3176450
—
NY
Enumeration date
12/02/2009
Last updated
06/02/2023
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