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Organization
KISI CORP
Active
Organization
KISI CORP
Active
Parent organization
333600000X
Other names
Health Choice Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
333600000X
Authorized official
ARSEN BALOYAN (OWNER/SUPERVISING PHARMACIST)
(718) 368-9800
Entity
Organization
Contact information
Practice address
3735 NOSTRAND AVE, BROOKLYN, NY 11235-1907
(718) 368-9800
Mailing address
3735 NOSTRAND AVE, BROOKLYN, NY 11235-1907
(718) 368-9800
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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