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Organization
VICTORY FAMILY PHARMACY, LLC
Active
Organization
VICTORY FAMILY PHARMACY, LLC
Active
Other names
The Apothecary Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ANTONOPOULOS PHARMD (PHARMACIST / MANAGING MEMBER)
(718) 448-0400
Entity
Organization
Contact information
Practice address
1975 VICTORY BLVD STE A, STATEN ISLAND, NY 10314-3536
(718) 448-0400
(718) 448-0404
Mailing address
1975 VICTORY BLVD STE A, STATEN ISLAND, NY 10314-3536
(718) 448-0400
(718) 448-0404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17031602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17 031602
LICENSE
NY
Enumeration date
10/02/2012
Last updated
03/07/2023
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