Organization
1413 FULTON ST PHARMACY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLAN BERMAN RPH. (TRES.)
(718) 638-5088
Entity
Organization
Contact information
Practice address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 638-5088
(516) 371-1814
Mailing address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 638-5088
(516) 371-1814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263185
—
NY
Enumeration date
03/08/2007
Last updated
08/22/2020
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