Organization
STANRX INC
Active
Other names
Stanley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SUFICH (PRESIDENT)
(718) 872-7665
Entity
Organization
Contact information
Practice address
807 STANLEY AVE, BROOKLYN, NY 11207
(718) 872-7665
(718) 872-7663
Mailing address
807 STANLEY AVE, BROOKLYN, NY 11207-8103
(718) 872-7665
(718) 872-7663
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033361
PHARMACY LICENSE
NY
Enumeration date
04/09/2015
Last updated
07/12/2018
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