Organization
BORO PARK PHARMACY CORP.
Active
Other names
Boro Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AKIVA TESSLER RPH (PRESIDENT / SUPERVISING PHARMACIST)
(718) 480-0700
Entity
Organization
Contact information
Practice address
5600 NEW UTRECHT AVE, BROOKLYN, NY 11219-4631
(718) 480-0700
(718) 480-7801
Mailing address
5600 NEW UTRECHT AVE, BROOKLYN, NY 11219-4631
(718) 480-0700
(718) 480-7801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1776BV81
—
NY
Enumeration date
10/08/2019
Last updated
10/08/2019
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