Organization
BROOKVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORUKH AMINOV (MANAGER)
(718) 749-5515
Entity
Organization
Contact information
Practice address
23520 147TH AVE, ROSEDALE, NY 11422-3226
(718) 749-5515
Mailing address
23520 147TH AVE, ROSEDALE, NY 11422-3226
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Enumeration date
03/20/2017
Last updated
07/21/2022
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