Organization
BAY RIDGE PEOPLE'S PHARMACY, INC
Active
Other names
POWELLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA FRIDMAN RPH (PRESIDENT)
(718) 745-2660
Entity
Organization
Contact information
Practice address
7517 3RD AVE, BROOKLYN, NY 11209-3168
(718) 745-2660
(718) 680-7431
Mailing address
7517 3RD AVE, BROOKLYN, NY 11209-3168
(718) 745-2660
(718) 680-7431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
026953
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
026953
NY
333600000X
Pharmacy
Primary
026953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570634
—
NY
01
—
3349986
NCPDP
NY
Enumeration date
07/08/2005
Last updated
01/04/2012
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