Organization
FAR ROCKAWAY PHARMACY CORP
Active
Other names
MOTT PHARMACY AND SURGICALS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVINKUMAR PATEL RPH (PRESIDENT)
(718) 327-2511
Entity
Organization
Contact information
Practice address
2119 MOTT AVE, FAR ROCKAWAY, NY 11691-3215
(718) 327-2511
(718) 327-5887
Mailing address
2119 MOTT AVE, FAR ROCKAWAY, NY 11691-3215
(718) 327-2511
(718) 327-5887
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00927266
—
NY
01
—
018895
STATE PHARMACY NUMBER
NY
Enumeration date
10/03/2006
Last updated
03/07/2023
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