Organization
ASM PHARMACY CORP
Active
Other names
GOOD NEIGHBOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ROYMTAN (MANAGER/OWNER)
(718) 375-8900
Entity
Organization
Contact information
Practice address
1604 AVENUE M, BROOKLYN, NY 11230-6007
(718) 375-8900
(718) 375-0478
Mailing address
1604 AVENUE M, BROOKLYN, NY 11230-6007
(718) 375-8900
(718) 375-0478
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339673
—
NY
01
—
3328019
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
11/25/2024
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