Organization
PAB PHARMACY INC
Active
Other names
PAB Pharmacy inc
Organization subpart
No
Provider details
NPI number
Authorized official
MIRKO LEVASSEUR (PRESIDENT)
(718) 649-1111
Entity
Organization
Contact information
Practice address
1115 NOSTRAND AVE, BROOKLYN, NY 11225-5409
(718) 649-1111
(718) 649-1110
Mailing address
1115 NOSTRAND AVE, BROOKLYN, NY 11225-5409
(718) 649-1111
(718) 649-1110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122601
PK
—
05
—
3246068
—
NY
Enumeration date
10/31/2009
Last updated
09/19/2025
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