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Organization

FARMACON ENTERPRISES LTD

Active
Other names
FARMACON ENT LTD
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DEMETRIADES (SUPERVISING PHARMACIST)
(718) 238-1090
Entity
Organization

Contact information

Practice address
8007 5TH AVE, BROOKLYN, NY 11209-4003
(718) 238-1090
(718) 748-9275
Mailing address
8007 5TH AVE, BROOKLYN, NY 11209-4003
(718) 238-1090
(718) 748-9275

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
015627
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00268539
NY
01
3362679
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/10/2006
Last updated
10/19/2012
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