Organization
MARLBORO DRUG CO INC
Active
Other names
MARLBORO DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MANZIONE RPH (PRESIDENT)
(718) 373-2600
Entity
Organization
Contact information
Practice address
2313 STILLWELL AVE, BROOKLYN, NY 11223-5647
(718) 373-2600
(718) 266-5044
Mailing address
2313 STILLWELL AVE, BROOKLYN, NY 11223-5647
(718) 373-2600
(718) 266-5044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
007406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263841
—
NY
01
—
3325746
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
01/12/2012
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