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Organization
HEALTH NET PHARMACY INC
Active
Organization
HEALTH NET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO DESIRAL (PRESIDENT)
(347) 533-8019
Entity
Organization
Contact information
Practice address
3601 CHURCH AVENUE, BROOKLYN, NY 11203
(347) 533-8019
(347) 533-8021
Mailing address
3601 CHURCH AVENUE, BROOKLYN, NY 11203
(347) 533-8019
(347) 533-8021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
029768
NY
333600000X
Pharmacy
Primary
—
NULL
Other
Enumeration date
10/31/2009
Last updated
12/13/2011
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