Organization
BENJAMIN PHARMACY CORP
Active
Other names
ELMHURST DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RESTNEPO RPH (PRESIDENT)
(718) 457-7884
Entity
Organization
Contact information
Practice address
84 04 BROADWAY, ELMHURST, NY 11373-5793
(718) 457-7884
(718) 457-2322
Mailing address
84 04 BROADWAY, ELMHURST, NY 11373-5793
(718) 457-7884
(718) 457-2322
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01599715
—
NY
01
—
2065536
PK
—
Enumeration date
11/30/2006
Last updated
01/08/2016
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