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Organization
WYCKOFF PHARMACY INC
Active
Organization
WYCKOFF PHARMACY INC
Active
Other names
Wyckoff Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD RANA PHARMACY (SUPERVISING PHARMACIST)
(718) 381-6200
Entity
Organization
Contact information
Practice address
5 GRAHAM AVE, BROOKLYN, NY 11206-4108
(718) 381-6200
(718) 381-6201
Mailing address
5 GRAHAM AVE, BROOKLYN, NY 11206-4108
(718) 381-6200
(718) 381-6201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03169537
—
NY
01
—
2122304
PK
—
Enumeration date
09/10/2009
Last updated
09/19/2025
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