Organization
SKS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHARIA RAHMAN (MANAGER)
(718) 385-6000
Entity
Organization
Contact information
Practice address
611 LIVONIA AVE, BROOKLYN, NY 11207-5308
(718) 385-6000
(718) 385-6000
Mailing address
611 LIVONIA AVE., BROOKLYN, NY 11207-9524
(718) 385-6000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04586063
—
NY
01
—
2160598
PK
—
Enumeration date
06/14/2016
Last updated
01/24/2018
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