Organization
BELLEROSE RX INC
Active
Other names
Phamco Drugs & Surgicals
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTA CHOUDHURY (SUPERVISING PHARMACIST)
(718) 778-8750
Entity
Organization
Contact information
Practice address
24815 UNION TPKE, BELLEROSE, NY 11426-1836
(718) 749-5811
(718) 749-5826
Mailing address
24815 UNION TPKE, BELLEROSE, NY 11426-1836
(718) 749-5811
(718) 749-5826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17033424
STATE BOARD OF PHARMACY
NY
Enumeration date
04/10/2015
Last updated
05/13/2022
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