# FIVE STAR PHARMACY INC

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

## Provider details

- **NPI number:** 1902940307
- **Authorized official:** SOFIYA GUTMAN (OWNER)
- **Authorized official phone:** (718) 686-8900

## Contact information

- **Practice address:** 4125 18TH AVE, BROOKLYN, NY 11218-5709
- **Practice address phone:** (718) 686-8900
- **Mailing address:** 4125 18TH AVE, BROOKLYN, NY 11218-5709
- **Mailing address phone:** (718) 686-8900
- **Mailing address fax:** (718) 686-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2007
- **Last updated:** 12/17/2007