Organization
FLATBUSH EXPRESS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE MAZEPA PHARM. D. (SUPERVISING PHARMACIST)
(718) 282-4777
Entity
Organization
Contact information
Practice address
862 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 282-4777
Mailing address
862 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 282-4777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
027498
NY
3336C0003X
Community/Retail Pharmacy
Primary
027498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703744
—
NY
Enumeration date
08/03/2006
Last updated
08/24/2020
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