Organization
FUSION PHARMACY CORP
Active
Other names
Fusion Pharmacy corp
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NEPO (SUPERVISING PHARMACIST)
(347) 604-2311
Entity
Organization
Contact information
Practice address
6801 18TH AVE, BROOKLYN, NY 11204-4058
(718) 975-2130
(718) 975-2133
Mailing address
6801 18TH AVE, BROOKLYN, NY 11204-4058
(718) 975-2130
(718) 975-2133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
029847
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03185788
—
NY
01
—
3363188
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/01/2009
Last updated
02/23/2022
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