Organization
ELMONT PHARMACY INC
Active
Other names
Care Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA BARRAH (PRESIDENT)
(718) 869-9559
Entity
Organization
Contact information
Practice address
1604 FULTON ST, BROOKLYN, NY 11213-1124
(718) 467-7000
(718) 467-7002
Mailing address
13046 LAURELTON PKWY, ROSEDALE, NY 11422-1219
(718) 869-9559
(718) 467-7002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030157
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126430
PK
—
05
—
3274215
—
NY
Enumeration date
04/16/2010
Last updated
08/01/2014
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