Organization
PARK RX INC
Active
Other names
PARK RX INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LIU (SUPERVISING PHARMACIST)
(718) 388-7228
Entity
Organization
Contact information
Practice address
836 BROADWAY, BROOKLYN, NY 11206-7305
(718) 388-7228
(718) 388-7221
Mailing address
836 BROADWAY, BROOKLYN, NY 11206-7305
(718) 388-7228
(718) 388-7221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04212584
—
NY
01
—
2152130
PK
—
Enumeration date
03/06/2015
Last updated
02/22/2017
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