Organization
BROTHERS DRUG CORP
Active
Other names
VARIETY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GROYSMAN (PRESIDENT)
(718) 723-2100
Entity
Organization
Contact information
Practice address
16933 137TH AVE, JAMAICA, NY 11434-4517
(718) 723-2100
(718) 978-6427
Mailing address
16933 137TH AVE, JAMAICA, NY 11434-4517
(718) 723-2100
(718) 978-6427
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
01091221
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
01091221
NY
333600000X
Pharmacy
01091221
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
01091221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091221
—
NY
Enumeration date
12/06/2005
Last updated
07/15/2025
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