Organization
EXPANDRX INC
Active
Other names
Frontline Pharmacy and Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZI AGBASIONWE (PHARMACIST)
(718) 400-9144
Entity
Organization
Contact information
Practice address
2610 ATLANTIC AVE, BROOKLYN, NY 11207-2415
(718) 400-9144
(718) 400-9146
Mailing address
PO BOX 70779, BROOKLYN, NY 11207-0779
(718) 400-9144
(718) 400-9146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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