Organization
E & S PHARMACY CORPORATION
Active
Other names
WELLENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GLAZAROV (PRESIDENT)
(917) 613-2386
Entity
Organization
Contact information
Practice address
295 KINGS HWY, BROOKLYN, NY 11223-1348
(718) 382-4400
(718) 998-1764
Mailing address
295 KINGS HWY, BROOKLYN, NY 11223-1348
(718) 382-4400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
023739
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01879496
—
NY
01
—
3307596
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/28/2006
Last updated
06/14/2008
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