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Organization
SAL PHARMACY CORP.
Active
Organization
SAL PHARMACY CORP.
Active
Other names
GLENWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA OSPOVAT RPH (PHARMACIST/OWNER)
(718) 209-3434
Entity
Organization
Contact information
Practice address
1665 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 209-3434
(718) 209-3279
Mailing address
1665 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 209-3434
(718) 209-3279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501013
—
NY
01
—
026358
PHARMACY LICENSE
NM
01
—
3335610
NCPDP
NY
01
—
R6Y
ETIN
NY
Enumeration date
10/07/2005
Last updated
03/07/2023
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