Organization
NEW DORP PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAVEL LERMAN (PRESIDENT)
(718) 667-6668
Entity
Organization
Contact information
Practice address
62 NEW DORP PLZ, STATEN ISLAND, NY 10306-2920
(718) 667-6668
(718) 667-6665
Mailing address
62 NEW DORP PLZ, STATEN ISLAND, NY 10306-2920
(718) 667-6668
(718) 667-6665
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031161
PHARMACY REGISTRATION
NY
Enumeration date
04/30/2012
Last updated
05/28/2013
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