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Organization
THRIFTWAY HYLAN BLVD DRUG CORP
Active
Organization
THRIFTWAY HYLAN BLVD DRUG CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL EPSTEIN (PRESIDENT)
(718) 987-0700
Entity
Organization
Contact information
Practice address
2728 HYLAN BLVD, STATEN ISLAND, NY 10306-4658
(718) 987-0700
(718) 987-7644
Mailing address
2728 HYLAN BLVD, STATEN ISLAND, NY 10306-4658
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01819685
—
NY
01
—
3343364
OTHER ID NUMBER
—
Enumeration date
10/07/2006
Last updated
09/13/2007
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