Organization
BROOKDALE RX INC.
Active
Other names
Brookdale Care Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX ANTONOPOULOS (SUPERVISING PHARMACIST)
(718) 240-8650
Entity
Organization
Contact information
Practice address
1110 PENNSYLVANIA AVE, BROOKLYN, NY 11207-9003
(718) 240-8650
(347) 462-4983
Mailing address
1110 PENNSYLVANIA AVE, BROOKLYN, NY 11207-9003
(718) 240-8650
(347) 462-4983
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033826
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166346
PK
—
Enumeration date
10/11/2016
Last updated
01/17/2017
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