Organization
DERU PHARMACY
Active
Other names
CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DELLORUSSO (PRESIDENT)
(718) 209-2222
Entity
Organization
Contact information
Practice address
5915 AVENUE N, BROOKLYN, NY 11234-4129
(718) 209-2222
(718) 209-9489
Mailing address
5915 AVENUE N, BROOKLYN, NY 11234-4129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01229189
—
NY
01
—
3397583
OTHER ID NUMBER
—
Enumeration date
12/08/2006
Last updated
03/21/2008
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