Organization
PARKSIDE EXPRESS PHARMACY INC
Active
Other names
Parkside Express Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRE NELSON (PRESIDENT)
(347) 529-1843
Entity
Organization
Contact information
Practice address
685 FLATBUSH AVE, BROOKLYN, NY 11225-5689
(347) 529-1843
(347) 529-1846
Mailing address
685 FLATBUSH AVE, BROOKLYN, NY 11225-5689
(347) 529-1843
(347) 529-1846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
034279
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04487514
—
NY
01
—
2157778
PK
—
Enumeration date
01/25/2016
Last updated
06/03/2025
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