Organization
OLD FAMILY PHARMACY INC
Active
Other names
Thriftway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX GENIN (PRESIDENT)
(718) 339-3500
Entity
Organization
Contact information
Practice address
1917 KINGS HWY, BROOKLYN, NY 11229-1313
(718) 339-3500
(718) 998-2280
Mailing address
1917 KINGS HWY, BROOKLYN, NY 11229-1313
(718) 339-3500
(718) 998-2280
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031042
—
NY
01
—
2133970
PK
—
Enumeration date
08/15/2011
Last updated
07/15/2020
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