Organization
AUSTRA LINE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHINEDU M AGBASIONWE (PRESIDENT)
(718) 531-6000
Entity
Organization
Contact information
Practice address
5916 GLENWOOD ROAD, BROOKLYN, NY 11234
(718) 531-6000
(718) 531-6004
Mailing address
PO BOX 340250, 5916 GLENWOOD ROAD, BROOKLYN, NY 11234
(718) 531-6000
(718) 531-6004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027830
NY
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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