Organization
CORT PHARMACY INC
Active
Other names
CORT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BLIKSTEIN (VP)
(718) 897-2569
Entity
Organization
Contact information
Practice address
6425 108TH ST, FOREST HILLS, NY 11375-1603
(718) 897-2569
(718) 897-2570
Mailing address
6425 108TH ST, FOREST HILLS, NY 11375-1603
(718) 897-2569
(718) 897-2570
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01079950
—
NY
01
—
2065461
PK
—
Enumeration date
08/10/2006
Last updated
12/02/2016
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