Organization
ASCAN PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS L FATA RPH (PRESIDENT)
(718) 793-6747
Entity
Organization
Contact information
Practice address
11215 72ND ROAD, LL5, FOREST HILLS, NY 11375-6647
(718) 793-6747
(718) 228-7166
Mailing address
11215 72ND ROAD, UNIT LL5, FOREST HILLS, NY 11375-6647
(718) 793-6747
(718) 228-7166
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03432648
—
NY
01
—
5804427
NCPDP
—
Enumeration date
12/01/2011
Last updated
04/18/2022
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