Organization
BRITTANY PHARMACY CORP.
Active
Other names
L&A PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUBA BALYASNY RPH (PHARMACIST/OWNER)
(718) 339-3131
Entity
Organization
Contact information
Practice address
395 AVENUE X, BROOKLYN, NY 11223-6004
(718) 339-3131
(718) 339-9232
Mailing address
395 AVENUE X, BROOKLYN, NY 11223-6004
(718) 339-3131
(718) 339-9232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025310
NY
1835N1003X
Nutrition Support Pharmacist
025310
NY
1835P1200X
Pharmacotherapy Pharmacist
025310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02269836
—
NM
01
—
025310
PHARMACY LICENSE NUMBER
NM
01
—
3326231
NCPDP NUMBER
NY
01
—
J4T
ETIN NUMBER
NY
Enumeration date
10/07/2005
Last updated
03/07/2023
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