Organization
PROSPECT CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHAR AMIN (OWNER/PHARMACY MANAGER)
(347) 725-4600
Entity
Organization
Contact information
Practice address
596 5TH AVE, BROOKLYN, NY 11215-5436
(347) 725-4600
(347) 725-4688
Mailing address
596 5TH AVE, BROOKLYN, NY 11215-5436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06294100
—
NY
Enumeration date
01/30/2019
Last updated
06/21/2021
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