# THRIFTWAY FOSTER AVE. DRUG CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thriftway Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932106366
- **Authorized official:** MR. ALEX PERCHUK RPH (CORP. SECY)
- **Authorized official phone:** (718) 835-2000

## Contact information

- **Practice address:** 1717 FOSTER AVE, BROOKLYN, NY 11230-1809
- **Practice address phone:** (718) 724-1717
- **Practice address fax:** (718) 859-4688
- **Mailing address:** 1717 FOSTER AVE, BROOKLYN, NY 11230-1809
- **Mailing address phone:** (718) 724-1717
- **Mailing address fax:** (718) 859-4688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 027122 | NY | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02640233 | — | NY |