Organization
O AND A PHARMACY CORP
Active
Other names
WYCKOFFS CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM AMIN (PRESIDENT)
(718) 923-1122
Entity
Organization
Contact information
Practice address
203 COURT ST, BROOKLYN, NY 11201-6420
(718) 923-1122
(718) 923-9811
Mailing address
203 COURT ST, BROOKLYN, NY 11201-6420
(718) 923-1122
(718) 923-9811
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02808973
—
NY
01
—
3345421
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
12/05/2012
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