Organization
CF53 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LAM PHARMD (SUPERVISING PHARMACIST)
(718) 618-7081
Entity
Organization
Contact information
Practice address
5223 8TH AVE REAR, BROOKLYN, NY 11220-2898
(718) 618-7081
(718) 618-7082
Mailing address
PO BOX 598, MANHASSET, NY 11030-0598
(347) 903-7847
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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