# KOCH PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELKOCH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982741377
- **Authorized official:** MR. ABU J SIDDIQUE RPH (VICE PRESIDENT DIRECTOR OF PHARMACY)
- **Authorized official phone:** (718) 381-0120

## Contact information

- **Practice address:** 126 WYCKOFF AVE, BROOKLYN, NY 11237-4308
- **Practice address phone:** (718) 381-0120
- **Practice address fax:** (718) 381-5780
- **Mailing address:** 126 WYCKOFF AVE, BROOKLYN, NY 11237-4308
- **Mailing address phone:** (718) 381-0120
- **Mailing address fax:** (718) 381-5780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025408 | NY | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02248873 | — | NY |