Organization
KISI CORP
Active
Other names
HEALTH CHOICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VOLMAN (VICE PRESIDENT)
(718) 368-9800
Entity
Organization
Contact information
Practice address
3735 NOSTRAND AVE, BROOKLYN, NY 11235-1907
(718) 368-9800
(718) 368-9700
Mailing address
3735 NOSTRAND AVE, BROOKLYN, NY 11235-1907
(718) 368-9800
(718) 368-9700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02331900
—
NY
01
—
2064419
PK
—
Enumeration date
05/23/2007
Last updated
12/09/2016
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