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Organization

HAYATT PHARMACY CORP

Active
Other names
Hayatt Pharmacy Corp
Organization subpart
No

Provider details

NPI number
Authorized official
RONNIE JOUDEH RPH (OWNER, PIC, AO)
(347) 662-6119
Entity
Organization

Contact information

Practice address
6920 5TH AVE, BROOKLYN, NY 11209-1507
(347) 662-6119
(347) 517-4308
Mailing address
6920 5TH AVE, BROOKLYN, NY 11209-1507
(347) 662-6119
(347) 517-4308

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
034342
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2158315
PK
Enumeration date
02/11/2016
Last updated
02/20/2017
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