Organization
BROOKDALERX INC
Active
Other names
BROOKDALE RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ADJAYE (PHARMACIST IN CHARGE)
(718) 240-8200
Entity
Organization
Contact information
Practice address
1275 LINDEN BLVD, BROOKLYN, NY 11212-3120
(718) 240-8200
(718) 240-8201
Mailing address
1275 LINDEN BLVD, BROOKLYN, NY 11212-3120
(718) 240-8200
(718) 240-8201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640733
—
NY
01
—
3343744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
10/22/2025
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