Organization
DITMAS PARK PHARMACY INC
Active
Other names
Ditmas Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELWALEED IBRAHIM (PRESIDENT)
(718) 975-4989
Entity
Organization
Contact information
Practice address
509 RALPH AVE, BROOKLYN, NY 11233-4406
(718) 975-4989
(718) 975-4998
Mailing address
1242 FLATBUSH AVE, BROOKLYN, NY 11226
(718) 975-4989
(718) 975-4998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04770696
—
NY
01
—
2160208
PK
—
Enumeration date
05/16/2016
Last updated
09/19/2025
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