Organization
BROOKLYN STAR PHARMACY INC.
Active
Other names
LUTHERAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SATYA DASARI (PRESIDENT)
(718) 492-9800
Entity
Organization
Contact information
Practice address
5407 2ND AVENUE, BROOKLYN, NY 11220
(718) 492-9800
(718) 492-1900
Mailing address
5407 2ND AVENUE, BROOKLYN, NY 11220
(718) 492-9800
(718) 492-1900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03497578
—
NY
Enumeration date
08/30/2012
Last updated
12/17/2015
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