Organization
PHARMAKON PHARMACY INC
Active
Other names
NOTTINGHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GLAZAROV RPH (PRES.)
(718) 375-2400
Entity
Organization
Contact information
Practice address
1914 AVENUE M, BROOKLYN, NY 11230-6202
(718) 375-2400
(718) 375-3805
Mailing address
1914 AVENUE M, BROOKLYN, NY 11230-6361
(718) 375-2400
(718) 375-3805
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01610360
—
NY
01
—
2058487
PK
—
Enumeration date
09/20/2006
Last updated
10/26/2023
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