Organization
ELIYAHUS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIAS MLABASATI (R PH)
(718) 627-0485
Entity
Organization
Contact information
Practice address
573 KINGS HWY, BROOKLYN, NY 11223-2003
(718) 627-0485
Mailing address
573 KINGS HWY, BROOKLYN, NY 11223-2003
(718) 627-0485
(718) 627-2757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
024117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903837
—
NY
Enumeration date
08/13/2007
Last updated
05/06/2013
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