Organization
MYRTLE AVE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIO P LOMAGNO (PRESIDENT)
(718) 596-0202
Entity
Organization
Contact information
Practice address
329 MYRTLE AVE, A, BROOKLYN, NY 11205
(718) 596-0202
(718) 596-6759
Mailing address
329 MYRTLE AVE, A, BROOKLYN, NY 11205
(718) 596-0202
(718) 596-6759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
017606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733440
—
NY
01
—
3375412
NABP #
NY
Enumeration date
10/16/2006
Last updated
08/22/2020
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