Organization
FMRG PHARMACY INC
Active
Other names
KINGS CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIY GELFAND (SUPERVISING PHARMACIST)
(718) 336-3355
Entity
Organization
Contact information
Practice address
433 KINGS HWY, BROOKLYN, NY 11223-1718
(718) 336-3355
(718) 336-3354
Mailing address
433 KINGS HWY, BROOKLYN, NY 11223-1718
(718) 336-3355
(718) 336-3355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02496028
—
NY
01
—
3328235
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/20/2007
Last updated
02/09/2012
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