# FULTON 1ST PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FULTON 1ST PHARMACY, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740767391
- **Legal business name:** FULTON 1ST PHARMACY, INC
- **Authorized official:** MOHAMED ELRASHIDY (GENERAL MANGER)
- **Authorized official phone:** (646) 922-8282

## Contact information

- **Practice address:** 1185 FULTON ST, BROOKLYN, NY 11216-1810
- **Practice address phone:** (718) 484-9100
- **Practice address fax:** (718) 484-9109
- **Mailing address:** 1185 FULTON ST, BROOKLYN, NY 11216-1810
- **Mailing address phone:** (718) 484-9100
- **Mailing address fax:** (718) 484-9109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 07/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04061441 | — | NY |