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Organization
VADUZ PHARMACEUTICALLS INC
Active
Organization
VADUZ PHARMACEUTICALLS INC
Active
Other names
BI-WISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BART MANNINO (PRESIDENT SUPERVSNG PHARMACIST)
(718) 331-5330
Entity
Organization
Contact information
Practice address
7407 18TH AVE, BROOKLYN, NY 11204-5614
(718) 331-5330
(718) 331-3779
Mailing address
7407 18TH AVE, BROOKLYN, NY 11204-5614
(718) 331-5330
(718) 331-3779
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01051298
—
NY
01
—
3390351
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
08/30/2012
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