Organization
INTERSTATE PHARMACEUTICAL SERVICES
Active
Other names
SPECTRUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR KONIG (SP)
(718) 435-3100
Entity
Organization
Contact information
Practice address
952 MCDONALD AVE, BROOKLYN, NY 11218-5612
(718) 435-3100
(718) 435-1671
Mailing address
952 MCDONALD AVE, BROOKLYN, NY 11218-5612
(718) 435-3100
(718) 435-1671
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019407
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01018726
—
NY
01
—
2064547
PK
—
Enumeration date
01/30/2007
Last updated
09/22/2016
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