Organization
BROOKLYN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVASA TUMMALA (PRESIDENT)
(718) 971-0078
Entity
Organization
Contact information
Practice address
1675 FLATBUSH AVE, BROOKLYN, NY 11210-3946
(347) 462-4662
(347) 462-4664
Mailing address
1675 FLATBUSH AVE, BROOKLYN, NY 11210-3946
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029508
NYS BOARD
NY
05
—
03139562
—
NY
01
—
3361653
NCPDP
NY
Enumeration date
04/23/2009
Last updated
03/07/2023
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