Organization
ESJAY PHARMACY CORP
Active
Other names
UNITED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALAA MIKHAEL PHARMACIST (PRESIDENT)
(718) 384-7901
Entity
Organization
Contact information
Practice address
556 GRAND ST, BROOKLYN, BROOKLYN, NY 11211-4386
(718) 384-7901
(718) 218-8591
Mailing address
556 GRAND ST, BROOKLYN, BROOKLYN, NY 11211-4386
(718) 384-7901
(718) 218-8591
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588889
—
NY
Enumeration date
10/12/2006
Last updated
11/15/2021
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