Organization
GOOD NATURE PHARMACY LLC
Active
Other names
Good Nature Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN SCARBOROUGH (MANAGING EMPLOYEE)
(718) 636-5655
Entity
Organization
Contact information
Practice address
805 WASHINGTON AVE, BROOKLYN, NY 11238-6104
(718) 636-5655
(718) 636-9423
Mailing address
805 WASHINGTON AVE, BROOKLYN, NY 11238-6104
(718) 636-5655
(718) 636-9423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034678
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165851
PK
—
Enumeration date
11/29/2016
Last updated
11/29/2016
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