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Organization
SURF AVENUE PHARMACY INC
Active
Organization
SURF AVENUE PHARMACY INC
Active
Other names
Surf Avenue Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ARTUR MALACHOV (PRESIDENT)
(718) 266-6111
Entity
Organization
Contact information
Practice address
2115 SURF AVE, BROOKLYN, NY 11224-2108
(718) 266-6111
(718) 266-2000
Mailing address
2115 SURF AVE, BROOKLYN, NY 11224-2108
(718) 266-6111
(718) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144315
PK
—
Enumeration date
02/10/2014
Last updated
10/10/2016
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