Organization
CLASSIC PHARMACY INC
Active
Other names
CLASSIC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BRANCALE RPH (PRESIDENT)
(718) 727-0022
Entity
Organization
Contact information
Practice address
1284 CLOVE RD, STATEN ISLAND, NY 10301-4301
(718) 727-0022
(718) 727-3316
Mailing address
1284 CLOVE RD, STATEN ISLAND, NY 10301-4301
(718) 727-0022
(718) 727-3316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332365
—
NY
01
—
2063241
PK
—
Enumeration date
06/13/2006
Last updated
01/20/2016
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