Organization
SR AND AG CORP
Active
Other names
kingsway pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA GOLDENBERG RPH (PRESIDENT)
(718) 946-6899
Entity
Organization
Contact information
Practice address
250 KINGS HWY, BROOKLYN, NY 11223-1205
(718) 946-6899
(718) 946-2743
Mailing address
250 KINGS HWY, BROOKLYN, NY 11223-1205
(718) 946-6899
(718) 946-2743
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347575
—
NY
Enumeration date
12/26/2006
Last updated
02/21/2019
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