Organization
VICTORY MEMORIAL HOSPITAL
Active
Other names
VICTORY MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAMS MS PHARMD (DIRECTOR OF PHARMACY)
(718) 567-1203
Entity
Organization
Contact information
Practice address
699 92ND ST, BROOKLYN, NY 11228-3619
(718) 567-1203
(718) 567-1438
Mailing address
699 92ND ST, BROOKLYN, NY 11228-3619
(718) 567-1203
(718) 567-1438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
009868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243449
—
NY
05
—
01196318
—
NY
01
—
3349695
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/01/2006
Last updated
04/20/2010
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