Organization
ROSEBANK PHARMACY LLC
Active
Other names
Rosebank Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE LEVINE BS, MPA (SUPERVISING PHARMACIST/OWNER)
(917) 213-6931
Entity
Organization
Contact information
Practice address
500 TOMPKINS AVE, STATEN ISLAND, NY 10305-1743
(718) 727-0426
(718) 816-1803
Mailing address
500 TOMPKINS AVE, STATEN ISLAND, NY 10305-1743
(718) 727-0426
(718) 816-1803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04128465
—
NY
01
—
2144358
PK
—
Enumeration date
11/01/2006
Last updated
10/10/2016
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