Organization
SILVER STAR PHARMACY INC
Active
Other names
Michael's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KOSTYLEV (PRESIDENT)
(718) 921-8777
Entity
Organization
Contact information
Practice address
531 E 7TH ST, BROOKLYN, NY 11218-4801
(718) 921-8777
(718) 921-9777
Mailing address
531 E 7TH ST, BROOKLYN, NY 11218-4801
(718) 921-8777
(718) 921-9777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04052902
—
NY
01
—
2148240
PK
—
Enumeration date
09/18/2014
Last updated
09/13/2016
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