# KASSEL PHARMACY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790880557
- **Authorized official:** MR. PETER S KASSEL (VP)
- **Authorized official phone:** (718) 464-0200

## Contact information

- **Practice address:** 21811 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2124
- **Practice address phone:** (718) 464-0200
- **Practice address fax:** (718) 468-2493
- **Mailing address:** 21811 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2124
- **Mailing address phone:** (718) 464-0200
- **Mailing address fax:** (718) 468-2493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 016765 | NY | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 02/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00262620 | — | NY |