Organization
FELLERDOM PHARMACY INC
Active
Other names
WALDINGERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DEROSA BS (PRESIDENT AND PHARMACIST)
(718) 745-2100
Entity
Organization
Contact information
Practice address
8318 5TH AVE, BROOKLYN, NY 11209-4511
(718) 745-2100
(718) 745-9367
Mailing address
8318 5TH AVE, BROOKLYN, NY 11209-4511
(718) 745-2100
(718) 745-9367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547851
—
NY
01
—
2061097
PK
—
Enumeration date
09/30/2006
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us