Organization
ROSE PHARMACY INC
Active
Other names
ROSE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY MAGANTI RPH (SUPERVISING PHCST)
(718) 235-3383
Entity
Organization
Contact information
Practice address
1074A LIBERTY AVE, BROOKLYN, NY 11208-2923
(718) 235-3383
(718) 235-3381
Mailing address
1074A LIBERTY AVE, BROOKLYN, NY 11208-2923
(718) 235-3383
(718) 235-3381
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02060057
—
NY
01
—
2060719
PK
—
Enumeration date
11/28/2006
Last updated
12/29/2015
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