Organization
MILLENNIUM PHARMACY INC
Active
Other names
MILLENNIUM PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MASHUKUR RAHMAN (PRESIDENT)
(718) 348-5000
Entity
Organization
Contact information
Practice address
3420 FULTON ST, BROOKLYN, NY 11208-1716
(718) 348-5000
(718) 348-5005
Mailing address
3420 FULTON ST, BROOKLYN, NY 11208-1716
(718) 348-5000
(718) 348-5005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01994485
—
NY
01
—
2066875
PK
—
Enumeration date
11/01/2006
Last updated
02/11/2016
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